Kaczmarek, Norman R

Kaczmarek, Norman R is an sole proprietor health care provider with primary practice located at 539 Harkle Rd Suite B, Santa Fe NM 87505-4782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kaczmarek, Norman R can be contacted via phone (505) 988-9769.

Contact Information

Primary practice address
539 Harkle Rd Suite B Santa Fe NM 87505-4782
Fax: (505) 989-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 78-43 New Mexico

Profile Details

NPI number 1588763072
LBN Legal business name Kaczmarek, Norman R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1588763072 NPPES
New Mexico MEDICAID 000029991

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