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Contact Information

JERALD T LOY, PA
13701 ENCANTADO RD NE
ALBUQUERQUE, NM87123-2275
 Phone: 505-237-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JERALD T LOY · (Male)

NPI Number 1104851021
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/11/2006
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2004-0005
  • NM Medicaid 18556019
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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