Dimotta, Frank J
Dimotta, Frank J is an individual health care provider with primary practice located at 208 Porr Dr , Ruidoso NM 88345-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dimotta, Frank J can be contacted via phone (575) 630-1214.Contact Information
Primary practice address
208 Porr Dr
Ruidoso NM 88345-6713
Phone: (575) 630-1214
Fax: (575) 630-2083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000-25 | New Mexico |
Profile Details
| NPI number | 1699740910 |
|---|---|
| LBN Legal business name | Dimotta, Frank J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Oct 29th, 2012 - about 12 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 | 1699740910 | NPPES |
| New Mexico | MEDICAID | 72884 |
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