Dodge, Rita Josephine
Dodge, Rita Josephine is an individual health care provider with primary practice located at 2019 Galisteo St Suite N9A, Santa Fe NM 87505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dodge, Rita Josephine can be contacted via phone (505) 988-1930.Contact Information
Primary practice address
2019 Galisteo St Suite N9A
Santa Fe NM 87505
Phone: (505) 988-1930
Fax: (505) 982-9931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20030007 | New Mexico |
Profile Details
| NPI number | 1114076650 |
|---|---|
| LBN Legal business name | Dodge, Rita Josephine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Aug 1st, 2011 - about 14 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 | 1114076650 | NPPES |
| New Mexico | MEDICAID | 32405227 |
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