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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1598734717 NPPES
Nebraska MEDICAID 47083425413
Nebraska MEDICAID 2125

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