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Contact Information

DOUBLE J SQUARED
11110 SAN RAFAEL AVE NE
ALBUQUERQUE, NM87122-2400
 Phone: 505-323-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DOUBLE J SQUARED

NPI Number 1598041568
LBN Legal business name DOUBLE J SQUARED
Authorized official JOSEPH JAROS - (PHY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2011
Last updated 10/22/2011 - About 15 years ago
Identifiers
NM License # 90-216
NY License # 90-216
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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