Dunn, Dan Austin
Dunn, Dan Austin is an sole proprietor health care provider with primary practice located at 505 E 20Th St , Farmington NM 87401-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dunn, Dan Austin can be contacted via phone (505) 324-6300.Contact Information
Primary practice address
505 E 20Th St
Farmington NM 87401-2105
Phone: (505) 324-6300
Fax: (505) 327-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 90-188 | New Mexico |
Profile Details
| NPI number | 1205839834 |
|---|---|
| LBN Legal business name | Dunn, Dan Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 21st, 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 | 1205839834 | NPPES |
| New Mexico | Other | 14710 | PHP COMMERCIAL/SALUD |
| New Mexico | Other | 21258 | PHP COMMERCIAL/SALUD |
| New Mexico | Other | 3833 | PHP COMMERCIAL/SALUD |
| New Mexico | MEDICAID | 33198 | PHP COMMERCIAL/SALUD |
| New Mexico | Other | NM014513 | PHP COMMERCIAL/SALUD |
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