Dorrough, Storm A

Dorrough, Storm A is an individual health care provider with primary practice located at 933 Bradbury Dr Se , Albuquerque NM 87106-4374. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dorrough, Storm A can be contacted via phone (505) 272-3120.

Contact Information

Primary practice address
933 Bradbury Dr Se Albuquerque NM 87106-4374
Fax:
Website:

Health care specialties

Profile Details

NPI number 1609363811
LBN Legal business name Dorrough, Storm A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2018
Last updated Jun 29th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609363811 NPPES
New Mexico MEDICAID 390200000X

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