Debuck, Peter John
Debuck, Peter John is an sole proprietor health care provider with primary practice located at 3501 N Butler Ave , Farmington NM 87401-6429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Debuck, Peter John can be contacted via phone (505) 918-1531.Contact Information
Primary practice address
3501 N Butler Ave
Farmington NM 87401-6429
Phone: (505) 918-1531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 332849 | Utah |
| Dental Providers / General Practice | 1223G0001X | DD2705 | New Mexico |
Profile Details
| NPI number | 1013976232 |
|---|---|
| LBN Legal business name | Debuck, Peter John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 10th, 2022 - about 2 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 | 1013976232 | NPPES |
| New Mexico | MEDICAID | 93429266 | |
| New Mexico | MEDICAID | 9180523 |
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