Dacanay, John B

Dacanay, John B is an individual health care provider with primary practice located at 305 W Country Club Rd , Roswell NM 88201-5892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dacanay, John B can be contacted via phone (575) 622-6322.

Contact Information

Primary practice address
305 W Country Club Rd Roswell NM 88201-5892
Phone: (575) 622-6322
Fax: (575) 622-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD2012-0806 New Mexico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37784 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36091802 Illinois

Profile Details

NPI number 1821049727
LBN Legal business name Dacanay, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 26th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821049727 NPPES
Illinois MEDICAID 036091802
Illinois MEDICAID PENDING
Illinois MEDICAID 305790

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