Goldblum, Kate
Goldblum, Kate is an individual health care provider with primary practice located at 303 Mulberry Ne , Albuquerque NM 87106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Ophthalmology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goldblum, Kate can be contacted via phone (505) 243-9739.Contact Information
Primary practice address
303 Mulberry Ne
Albuquerque NM 87106
Phone: (505) 243-9739
Fax: (505) 842-0650
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0293583-22 | New Mexico |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R11582 | New Mexico |
Profile Details
NPI number | 1134127772 |
---|---|
LBN Legal business name | Goldblum, Kate |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Nov 5th, 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 | 1134127772 | NPPES |
New Mexico | MEDICAID | 28528042 | |
New Mexico | Other | 0293583-22 |
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