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Contact Information

ALLEN M FREY, R.T.
JICARILLA APACHE HEALTH CARE CENTER
12000 STONE LAKE ROAD
DULCE, NM87528
 Phone: 505-759-3291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for ALLEN M FREY · (Male)

NPI # 1629152764
Status Active
Credentials R.T.
Entity Individual
Enumeration date 10/25/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM Medicaid 000K3526
  • NM Other HSZ196 MEDICARE PART B
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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