Conn, Richard L

Conn, Richard L is an individual health care provider with primary practice located at 5400 Gibson Se , Albuquerque NM 87108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Conn, Richard L can be contacted via phone (505) 262-7000.

Contact Information

Primary practice address
5400 Gibson Se Albuquerque NM 87108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 74139 New Mexico

Profile Details

NPI number 1205859303
LBN Legal business name Conn, Richard L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - 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 1205859303 NPPES
New Mexico MEDICAID 13458

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