Daffern, Pamela J
Daffern, Pamela J is an sole proprietor health care provider with primary practice located at 1020 Tijeras Ave Ne Suite 22, Albuquerque NM 87106-4749. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Daffern, Pamela J can be contacted via phone (505) 848-3124.Contact Information
Primary practice address
1020 Tijeras Ave Ne Suite 22
Albuquerque NM 87106-4749
Phone: (505) 848-3124
Fax: (505) 843-9037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101059354 | Virginia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 0101059354 | Virginia |
Profile Details
| NPI number | 1043309107 |
|---|---|
| LBN Legal business name | Daffern, Pamela J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 3rd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043309107 | NPPES |
| New Mexico | Other | 1598933145 | GROUP NPI |
| New Mexico | Other | 1396970281 | GROUP NPI |
| New Mexico | MEDICAID | 94507520 | GROUP NPI |
Popular Providers
-
Ghably, Jack George
7001 Signal Ave Ne , Albuquerque NM 87113-2453 -
Haynes, Elizabeth
1201 Camino De Salud Ne , Albuquerque NM 87131-4597 -
Abernathy-Carver, Katherine Jean
2509 Virginia St Ne Ste B, Albuquerque NM 87110-4694 -
Wang, Shanze
7001 Signal Ave Ne , Albuquerque NM 87113-2453 -
Grippen Goddard, Amanda Violet
7001 Signal Ave Ne , Albuquerque NM 87113-2453 -
Marin, Eileen M
10301 Georgia Ave Ste 306, Silver Spring MD 20902-5020 -
Glassheim, Jeffrey W
1010 Las Lomas Rd Ne Suite 4, Albuquerque NM 87102-2634 -
Schuyler, Mark
1 Unm Msc10 5550, Albuquerque NM 87131-0001