National Provider Identifier Database

ALDEN G COCKBURN MD
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

ALDEN G COCKBURN MD
1399 WEIMER RD
# 600
TAOS, NM87571-6340
Phone: 575-751-0334
Fax: 575-751-0297
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ALDEN G COCKBURN MD

NPI Number 1578738381
Legal business name
LBN
ALDEN G COCKBURN MD
Authorized official JUDY COCKBURN - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 20040101
  • NM Medicaid: 29805325

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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