Gadomski, Richard D
Gadomski, Richard D is an sole proprietor health care provider with primary practice located at 1650 Hospital Dr , Santa Fe NM 87505-4769. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gadomski, Richard D can be contacted via phone (505) 660-0743.Contact Information
Primary practice address
1650 Hospital Dr
Santa Fe NM 87505-4769
Phone: (505) 660-0743
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | MD2019-0803 | New Mexico |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD2019-0803 | New Mexico |
Profile Details
NPI number | 1700270873 |
---|---|
LBN Legal business name | Gadomski, Richard D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 26th, 2015 |
Last updated | May 31st, 2024 - 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 | 1700270873 | NPPES |
New Mexico | Other | RS2018-0349 | NM MEDICAL BOARD |
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