Vanderslice, Duane E
Vanderslice, Duane E is an sole proprietor health care provider with primary practice located at 816 W Maple St , Farmington NM 87401-5631. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vanderslice, Duane E can be contacted via phone (505) 327-3634.Contact Information
Primary practice address
816 W Maple St
Farmington NM 87401-5631
Phone: (505) 327-3634
Fax: (505) 327-2104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 83-134 | New Mexico |
Profile Details
| NPI number | 1407953177 |
|---|---|
| LBN Legal business name | Vanderslice, Duane E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Nov 12th, 2008 - about 18 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 | 1407953177 | NPPES |
| New Mexico | MEDICAID | 22095 | |
| New Mexico | Other | 2836 | |
| New Mexico | Other | 850364974 | |
| New Mexico | Other | 201010266 |
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