Homer, David
Homer, David is an individual health care provider with primary practice located at 2300 E 30Th St Ste C2 , Farmington NM 87401-8991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Homer, David can be contacted via phone (505) 324-1000.Contact Information
Primary practice address
2300 E 30Th St Ste C2
Farmington NM 87401-8991
Phone: (505) 324-1000
Fax: (505) 324-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2016-0229 | New Mexico |
Profile Details
| NPI number | 1295738656 |
|---|---|
| LBN Legal business name | Homer, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295738656 | NPPES |
| New Mexico | MEDICAID | 45938202 |
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