Buntrock, Chris T.

Buntrock, Chris T. is an individual health care provider with primary practice located at 622 W Maple St Ste E , Farmington NM 87401-6589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Buntrock, Chris T. can be contacted via phone (505) 325-4003.

Contact Information

Primary practice address
622 W Maple St Ste E Farmington NM 87401-6589
Phone: (505) 325-4003
Fax: (505) 327-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2012-0653 New Mexico

Profile Details

NPI number 1073531851
LBN Legal business name Buntrock, Chris T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 3rd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073531851 NPPES
New Mexico MEDICAID 73022543

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