Degeorge, Rosalind Monica
Degeorge, Rosalind Monica is an individual health care provider with primary practice located at 111 Sandoval Rd Sw , Los Lunas NM 87031-7320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Degeorge, Rosalind Monica can be contacted via phone (505) 565-4355.Contact Information
Primary practice address
111 Sandoval Rd Sw
Los Lunas NM 87031-7320
Phone: (505) 565-4355
Fax: (505) 565-4360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2005-0054 | New Mexico |
Profile Details
| NPI number | 1487662540 |
|---|---|
| LBN Legal business name | Degeorge, Rosalind Monica |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487662540 | NPPES |
| New Mexico | Other | 202010875 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | P00340493 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | MEDICAID | 49050231 | PRESBYTERIAN HEALTH PLAN |
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