Engstrom, Paul F
Engstrom, Paul F is an individual health care provider with primary practice located at 342 Sherrill Ln , Roswell NM 88201-5819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Engstrom, Paul F can be contacted via phone (575) 625-0123.Contact Information
Primary practice address
342 Sherrill Ln
Roswell NM 88201-5819
Phone: (575) 625-0123
Fax: (575) 625-0131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2000-181 | New Mexico |
Profile Details
| NPI number | 1003884602 |
|---|---|
| LBN Legal business name | Engstrom, Paul F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Apr 4th, 2024 - about 7 months 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 | 1003884602 | NPPES |
| New Mexico | Other | NM009129 | BCBS |
| New Mexico | Other | P00344526 | BCBS |
| New Mexico | Other | 12313 | BCBS |
| New Mexico | MEDICAID | B3625 | BCBS |
| New Mexico | Other | 76-0161899 | BCBS |
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