National Provider Identifier Database

TOMMY G ROE, DPM – NPI #1720077050
Surgery, Foot & Ankle


Contact Information

TOMMY G ROE, DPM
9412 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM87112-2878
Phone: 505-565-1155
Fax: 505-565-1166
Website:
Specialty Taxonomy Code
* Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for TOMMY G ROE

NPI Number 1720077050
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/19/2005
Last updated 02/28/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • NM License #: 279
  • NM Medicaid: 55003800
  • NM Medicaid: 84001780
  • NM Other: NM015486 BCBS PROVIDER NUMBER
Hospital affiliation n/a

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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