Dornbusch, Jeffrey
Dornbusch, Jeffrey is an individual health care provider with primary practice located at 1100 Central Ave Se Pmg Peds Intensivists, Albuquerque NM 87106-4930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dornbusch, Jeffrey can be contacted via phone (505) 724-7044.Contact Information
Primary practice address
1100 Central Ave Se Pmg Peds Intensivists
Albuquerque NM 87106-4930
Phone: (505) 724-7044
Fax: (505) 841-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 92-42 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 92-42 | New Mexico |
Profile Details
| NPI number | 1154430486 |
|---|---|
| LBN Legal business name | Dornbusch, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 30th, 2016 - about 8 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 | 1154430486 | NPPES |
| New Mexico | MEDICAID | 000E2508 |
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