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Contact Information

TIMOTHY S DIESEL, DOM, PA-C
1240 PENNSYLVANIA ST NE
ALBUQUERQUE, NM87110-7441
 Phone: 505-291-2040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for TIMOTHY S DIESEL · (Male)

NPI # 1619056553
Status Active
Credentials DOM, PA-C
Entity Individual
Enumeration date 11/02/2006
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 765
  • NM License # PA2009-0010
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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