National Provider Identifier Database

INFECTIOUS DISEASES AND INTERNAL MEDICINE
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

INFECTIOUS DISEASES AND INTERNAL MEDICINE
5901 HARPER DR NE
ALBUQUERQUE, NM87109-3587
Phone: 505-848-3730
Fax: 505-848-3732
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASES AND INTERNAL MEDICINE

NPI Number 1326044512
Legal business name
LBN
INFECTIOUS DISEASES AND INTERNAL MEDICINE
Authorized official JANIVA BACK - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/22/2005
Last updated 12/23/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 78-15

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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