Diaz, Howard T
Diaz, Howard T is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Diaz, Howard T can be contacted via phone (505) 841-1000.Contact Information
Primary practice address
502 Elm St Ne
Albuquerque NM 87102-2512
Phone: (505) 841-1000
Fax: (505) 843-2592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2004-0027 | New Mexico |
Profile Details
| NPI number | 1639174824 |
|---|---|
| LBN Legal business name | Diaz, Howard T |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 28th, 2014 - about 10 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 | 1639174824 | NPPES |
| New Mexico | MEDICAID | 30426529 |
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