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Contact Information

SUSAN A HERBER, PA-C
300 PASEO DEL PUEBLO SUR
TAOS, NM87571
 Phone: 575-776-8421
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SUSAN A HERBER · (Female)

NPI # 1568506590
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/15/2007
Last updated 09/10/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # PA2004-0052
  • NM Medicaid 40286525
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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