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Contact Information

MICHAEL G LA BELLE, PHYSICIAN ASSISTANT
40 GARDEN PARK CIR NW
ALBUQUERQUE, NM87107-2669
 Phone: 505-385-4060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL G LA BELLE · (Male)

NPI Number 1861568305
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 11/27/2006
Last updated 02/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 90-PA23
  • NM License # 90PA23
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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