National Provider Identifier Database

DJAA TLHENAI MEDICINE LODGE
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DJAA TLHENAI MEDICINE LODGE
111 CARLISLE BLVD SE
ALBUQUERQUE, NM87106-1427
Phone: 505-819-3403
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DJAA TLHENAI MEDICINE LODGE

NPI Number 1164851382
Legal business name
LBN
DJAA TLHENAI MEDICINE LODGE
Authorized official OATZINU SHEELAKEE - (FOUNDER)
Entity Organization
Organization subpart Yes
Enumeration date 11/07/2013
Last updated 11/07/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 12-00116271

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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