Edward. J. Neidhardt Mbr

LBN: Bila Ashdla Llc
Edward. J. Neidhardt Mbr is an health care organization with primary practice located at 103 S Saint Francis Dr Suite C, Santa Fe NM 87501-2458. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bila Ashdla Llc can be contacted via phone (503) 988-5667, or through Neidhardt, Edward Joseph via phone (505) 988-5667.

Contact Information

Primary practice address
103 S Saint Francis Dr Suite C Santa Fe NM 87501-2458
Phone: (503) 988-5667
Fax: (505) 820-1632
Website:
Map and Directions
Authorized official contact:
Name: Neidhardt, Edward Joseph Doctor of Medicine (MD)
Phone: (505) 988-5667

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 89267 New Mexico

Profile Details

NPI number 1316086838
LBN Legal business name Bila Ashdla Llc
DBA Doing business as Edward. J. Neidhardt Mbr
Authorized official Neidhardt, Edward Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316086838 NPPES
New Mexico MEDICAID 41814

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