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Contact Information

ETHAN B DECKERT, MD
700 CAMINO DE SALUD
ALBUQUERQUE, NM87106-3740
 Phone: 505-272-5062
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ETHAN B DECKERT · (Male)

NPI Number 1326568080
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 7977
  • NM License # 7977
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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