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Contact Information

DOUBLE J SQUARED
11110 SAN RAFAEL AVE NE
ALBUQUERQUE, NM87122-2400
 Phone: 505-323-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DOUBLE J SQUARED · (Female)

NPI Number 1598041568
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2011
Last updated 10/22/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 90-216
  • NY License # 90-216
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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