Endacott, Karen A
Endacott, Karen A is an individual health care provider with primary practice located at 2055 S Pacheco St , Santa Fe NM 87505-3997. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Endacott, Karen A can be contacted via phone (505) 473-0390.Contact Information
Primary practice address
2055 S Pacheco St
Santa Fe NM 87505-3997
Phone: (505) 473-0390
Fax: (505) 473-0375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23889 | Nebraska |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0420009815 | Vermont |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2012-0105 | New Mexico |
Profile Details
NPI number | 1598734717 |
---|---|
LBN Legal business name | Endacott, Karen A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Jan 7th, 2015 - about 10 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 | 1598734717 | NPPES |
Nebraska | MEDICAID | 47083425413 | |
Nebraska | MEDICAID | 2125 |
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