Berdecia, Mila
Berdecia, Mila is an sole proprietor health care provider with primary practice located at 601 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berdecia, Mila can be contacted via phone (407) 754-8195.Contact Information
Primary practice address
601 Dr Martin Luther King Jr Ave Ne
Albuquerque NM 87102-3619
Phone: (407) 754-8195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD16115 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9701248 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2011-0759 | New Mexico |
Profile Details
| NPI number | 1972549970 |
|---|---|
| LBN Legal business name | Berdecia, Mila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 14th, 2023 - about 2 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 | 1972549970 | NPPES |
| North Carolina | MEDICAID | 1972549970 | |
| North Carolina | MEDICAID | 161158 |
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