Haskins, Clark E

Haskins, Clark E is an individual health care provider with primary practice located at 4901 Lang Avenue Ne , Albuquerque NM 87109-4397. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Haskins, Clark E can be contacted via phone (505) 842-8171.

Contact Information

Primary practice address
4901 Lang Avenue Ne Albuquerque NM 87109-4397
Fax: (505) 246-0684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 81-219 New Mexico

Profile Details

NPI number 1720081839
LBN Legal business name Haskins, Clark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 11th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720081839 NPPES
New Mexico MEDICAID 8441

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