Feddersen, Richard M
Feddersen, Richard M is an individual health care provider with primary practice located at 1100 Central Ave Se Pathology Associates, Albuquerque NM 87106-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Feddersen, Richard M can be contacted via phone (505) 841-1259.Contact Information
Primary practice address
1100 Central Ave Se Pathology Associates
Albuquerque NM 87106-4930
Phone: (505) 841-1259
Fax: (505) 841-1373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 87229 | New Mexico |
Profile Details
| NPI number | 1730170754 |
|---|---|
| LBN Legal business name | Feddersen, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1730170754 | NPPES |
| New Mexico | MEDICAID | 9597 |
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