Dimmette, Wendy
Dimmette, Wendy is an sole proprietor health care provider with primary practice located at 1214 National Ave , Las Vegas NM 87701-4033. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dimmette, Wendy can be contacted via phone (505) 425-7340.Contact Information
Primary practice address
1214 National Ave
Las Vegas NM 87701-4033
Phone: (505) 425-7340
Fax: (505) 425-7680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 96227 | New Mexico |
Profile Details
| NPI number | 1477560589 |
|---|---|
| LBN Legal business name | Dimmette, Wendy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477560589 | NPPES |
| New Mexico | MEDICAID | L5334 |
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