Torres Balsamo, Gina M

Torres Balsamo, Gina M is an individual health care provider with primary practice located at 630 Paseo Del Pueblo Sur Ste 125 , Taos NM 87571-7024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Torres Balsamo, Gina M can be contacted via phone (575) 751-7430.

Contact Information

Primary practice address
630 Paseo Del Pueblo Sur Ste 125 Taos NM 87571-7024
Phone: (575) 751-7430
Fax: (575) 751-7059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2010-0048 New Mexico

Profile Details

NPI number 1649587726
LBN Legal business name Torres Balsamo, Gina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Oct 4th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649587726 NPPES
New Mexico Other NMAAA0219 MEDICARE PTAN
New Mexico MEDICAID 83383778 MEDICARE PTAN

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