Giudice, Vivian B
Giudice, Vivian B is an individual health care provider with primary practice located at 801 Encino Pl Ne Ste A6, Albuquerque NM 87102-2641. She recently has only one registered license in Group / Groups of Doctors / Single Specialty, which is considered as her primary health care specialty. Giudice, Vivian B can be contacted via phone (505) 224-7400.Contact Information
Primary practice address
801 Encino Pl Ne Ste A6
Albuquerque NM 87102-2641
Phone: (505) 224-7400
Fax: (505) 224-7404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Group / Groups of Doctors / Single Specialty | 193400000X | 85-0367991 | New Mexico |
Profile Details
| NPI number | 1174617542 |
|---|---|
| LBN Legal business name | Giudice, Vivian B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 22nd, 2016 - about 8 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 | 1174617542 | NPPES |
| New Mexico | MEDICAID | 26526 |
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