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Contact Information

THOMAS J BETJEMAN
MSC 09 5040
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM87131-0001
 Phone: 505-272-6607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for THOMAS J BETJEMAN · (Male)

NPI Number 1164841565
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2014
Last updated 10/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A150085
  • NM License # MD2017-0422
Hospital affiliation(s)
  • SOCORRO GENERAL HOSPITAL - (Critical Access)
    1202 HIGHWAY 60 WEST
    SOCORRO, NM 87801
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
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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