Stuckwisch, Dawn
Stuckwisch, Dawn is an individual health care provider with primary practice located at 11601 Montgomery Blvd Ne , Albuquerque NM 87111-2660. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Stuckwisch, Dawn can be contacted via phone (505) 814-1995.Contact Information
Primary practice address
11601 Montgomery Blvd Ne
Albuquerque NM 87111-2660
Phone: (505) 814-1995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01054092 | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD2020-1061 | New Mexico |
Profile Details
| NPI number | 1770593774 |
|---|---|
| LBN Legal business name | Stuckwisch, Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 9th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770593774 | NPPES |
| Indiana | MEDICAID | 200341050 |
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