Cockburn, Alden G
Cockburn, Alden G is an individual health care provider with primary practice located at 1399 Weimer Road # 600B, Taos NM 87571-6351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cockburn, Alden G can be contacted via phone (505) 751-0334.Contact Information
Primary practice address
1399 Weimer Road # 600B
Taos NM 87571-6351
Phone: (505) 751-0334
Fax: (505) 751-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD2004-0101 | New Mexico |
Profile Details
| NPI number | 1225135791 |
|---|---|
| LBN Legal business name | Cockburn, Alden G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1225135791 | NPPES |
| New Mexico | Other | MD2004-0101 | MEDICAL LIC # |
| New Mexico | Other | 00NM009M74 | MEDICAL LIC # |
| New Mexico | MEDICAID | 29805325 | MEDICAL LIC # |
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