Chiu, Mark T.

Chiu, Mark T. is an individual health care provider with primary practice located at 806 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chiu, Mark T. can be contacted via phone (505) 842-6575.

Contact Information

Primary practice address
806 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3657
Fax: (505) 764-8796
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 88-17 New Mexico

Profile Details

NPI number 1821083932
LBN Legal business name Chiu, Mark T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 25th, 2008 - about 17 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 1821083932 NPPES
New Mexico Other NM000562 BC BS OF NM
New Mexico MEDICAID 279522 BC BS OF NM
New Mexico MEDICAID 05140 BC BS OF NM
New Mexico Other 180014486 BC BS OF NM
New Mexico MEDICAID 91-088179 BC BS OF NM

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