Fillmore, David
Fillmore, David is an individual health care provider with primary practice located at 8020 Constitution Pl Ne Ste 101, Albuquerque NM 87110-7640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fillmore, David can be contacted via phone (505) 998-1317.Contact Information
Primary practice address
8020 Constitution Pl Ne Ste 101
Albuquerque NM 87110-7640
Phone: (505) 998-1317
Fax: (505) 998-1308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD2008-0074 | New Mexico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD2008-0074 | New Mexico |
Profile Details
| NPI number | 1255315057 |
|---|---|
| LBN Legal business name | Fillmore, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 17th, 2020 - about 4 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 | 1255315057 | NPPES |
| New Mexico | MEDICAID | 000E7354 |
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