Andrews, Mark Leroy
Andrews, Mark Leroy is an individual health care provider with primary practice located at 111 W. Hobbs St. , Roswell NM 88203-1869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andrews, Mark Leroy can be contacted via phone (575) 623-3311.Contact Information
Primary practice address
111 W. Hobbs St.
Roswell NM 88203-1869
Phone: (575) 623-3311
Fax: (575) 622-1273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 99-155 | New Mexico |
Profile Details
| NPI number | 1154420735 |
|---|---|
| LBN Legal business name | Andrews, Mark Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 22nd, 2015 - about 10 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 | 1154420735 | NPPES |
| New Mexico | MEDICAID | 00078991 |
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