National Provider Identifier Database

INTERNAL MEDICINE OF GRANTS
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

INTERNAL MEDICINE OF GRANTS
101 GREENLEAF CT
GRANTS, NM87020-4235
Phone: 505-287-2621
Fax: 505-287-5119
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE OF GRANTS

NPI Number 1497774574
Legal business name
LBN
INTERNAL MEDICINE OF GRANTS
Authorized official H AUGENSTEIN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/19/2006
Last updated 07/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 2000-I38
  • NM Other: NM-003231 BCBS-AUGENSTEIN
  • NM Other: 201025858 PRESBYTERIAN
  • NM Other: 110218817 RAILROAD MEDICARE

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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