Deckert, Ethan Benjamin
Deckert, Ethan Benjamin is an individual health care provider with primary practice located at 700 Camino De Salud , Albuquerque NM 87106-3740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Deckert, Ethan Benjamin can be contacted via phone (505) 272-5062.Contact Information
Primary practice address
700 Camino De Salud
Albuquerque NM 87106-3740
Phone: (505) 272-5062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 7977 | New Mexico |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7977 | Nebraska |
Profile Details
| NPI number | 1326568080 |
|---|---|
| LBN Legal business name | Deckert, Ethan Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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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