Brittain, Paul Allen
Brittain, Paul Allen is an individual health care provider with primary practice located at 715 Dr Martin Luther King Jr Ave Ne Ste 102 , Albuquerque NM 87102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Brittain, Paul Allen can be contacted via phone (505) 727-3040.Contact Information
Primary practice address
715 Dr Martin Luther King Jr Ave Ne Ste 102
Albuquerque NM 87102
Phone: (505) 727-3040
Fax: (505) 727-9590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | PENDING | New Mexico |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD2018-0545 | New Mexico |
Profile Details
NPI number | 1184980989 |
---|---|
LBN Legal business name | Brittain, Paul Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2012 |
Last updated | May 26th, 2020 - about 5 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 | 1184980989 | NPPES |
New Mexico | MEDICAID | 24158038 |
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