Adajar, Fundador L
Adajar, Fundador L is an individual health care provider with primary practice located at 2890 N Wilshire Blvd , Roswell NM 88201-6514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Adajar, Fundador L can be contacted via phone (575) 624-0400.Contact Information
Primary practice address
2890 N Wilshire Blvd
Roswell NM 88201-6514
Phone: (575) 624-0400
Fax: (575) 623-1702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2002-0003 | New Mexico |
Profile Details
| NPI number | 1013919232 |
|---|---|
| LBN Legal business name | Adajar, Fundador L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013919232 | NPPES |
| New Mexico | MEDICAID | 96879360 |
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