Dudley, Calvin
Dudley, Calvin is an individual health care provider with primary practice located at 3810 Masthead St Ne , Albuquerque NM 87109-4479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Dudley, Calvin can be contacted via phone (505) 243-3514.Contact Information
Primary practice address
3810 Masthead St Ne
Albuquerque NM 87109-4479
Phone: (505) 243-3514
Fax: (505) 243-3451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 86-222 | New Mexico |
Profile Details
| NPI number | 1972524619 |
|---|---|
| LBN Legal business name | Dudley, Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 9th, 2009 - about 16 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 | 1972524619 | NPPES |
| New Mexico | Other | NM010744 | BCBS NEW MEXICO |
| New Mexico | Other | 201002646 | BCBS NEW MEXICO |
| New Mexico | MEDICAID | 37689 | BCBS NEW MEXICO |
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