Frey, Allen Michael
Frey, Allen Michael is an individual health care provider with primary practice located at Jicarilla Apache Health Care Center 12000 Stone Lake Road, Dulce NM 87528. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Frey, Allen Michael can be contacted via phone (505) 759-3291.Contact Information
Primary practice address
Jicarilla Apache Health Care Center 12000 Stone Lake Road
Dulce NM 87528
Phone: (505) 759-3291
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X |
Profile Details
NPI number | 1629152764 |
---|---|
LBN Legal business name | Frey, Allen Michael |
Credentials | Radiologic Technologist (RT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | May 27th, 2008 - about 16 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 | 1629152764 | NPPES |
New Mexico | MEDICAID | 000K3526 | |
New Mexico | Other | HSZ196 |
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