Guest, Tommy Joe

Guest, Tommy Joe is an individual health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5153. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Guest, Tommy Joe can be contacted via phone (505) 265-1711.

Contact Information

Primary practice address
1501 San Pedro Dr Se Albuquerque NM 87108-5153
Phone: (505) 265-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2019-0056 New Mexico

Profile Details

NPI number 1134184336
LBN Legal business name Guest, Tommy Joe
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 2nd, 2019 - about 5 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.

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