Korbitz, Thomas Albert
Korbitz, Thomas Albert is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Korbitz, Thomas Albert can be contacted via phone (505) 368-6020.Contact Information
Primary practice address
Us Hwy 491 North
Shiprock NM 87420
Phone: (505) 368-6020
Fax: (505) 368-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1508 | New Mexico |
Profile Details
| NPI number | 1215926076 |
|---|---|
| LBN Legal business name | Korbitz, Thomas Albert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215926076 | NPPES |
| New Mexico | MEDICAID | 18205305 | |
| New Mexico | MEDICAID | 472118 | |
| New Mexico | MEDICAID | 95734040 |
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