National Provider Identifier Database

ISPM NEW MEXICO LLC
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

ISPM - NEW MEXICO LLC
2474 INDIAN WELLS RD.
ALAMOGORDO, NM88310-8700
Phone: 415-987-4921
Fax: 575-437-0358
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ISPM - NEW MEXICO LLC

NPI Number 1861633307
Legal business name
LBN
ISPM - NEW MEXICO LLC
Authorized official BRETT BUTZ - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/12/2009
Last updated 03/11/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: MD2009-0017

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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