Tong, Rolando M
Tong, Rolando M is an sole proprietor health care provider with primary practice located at 2215 State Rd 17 , Chama NM 87520-0668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tong, Rolando M can be contacted via phone (575) 756-1030.Contact Information
Primary practice address
2215 State Rd 17
Chama NM 87520-0668
Phone: (575) 756-1030
Fax: (575) 756-1030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 89-109 | New Mexico |
Profile Details
| NPI number | 1023006129 |
|---|---|
| LBN Legal business name | Tong, Rolando M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 29th, 2013 - about 13 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 | 1023006129 | NPPES |
| New Mexico | MEDICAID | 000E1435 |
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