Underwood, Robert M

Underwood, Robert M is an individual health care provider with primary practice located at 4820 E Main St , Farmington NM 87402-8660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Underwood, Robert M can be contacted via phone (505) 609-6495.

Contact Information

Primary practice address
4820 E Main St Farmington NM 87402-8660
Phone: (505) 609-6495
Fax: (505) 324-0504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2018-0896 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101230784 Virginia

Profile Details

NPI number 1881636785
LBN Legal business name Underwood, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 29th, 2019 - about 7 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 1881636785 NPPES
Virginia MEDICAID 5861896
Virginia Other 930116680
Virginia Other 1806441000

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