Kullman, Frederick M
Kullman, Frederick M is an individual health care provider with primary practice located at 433 Saint Michaels Dr , Santa Fe NM 87505-7601. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kullman, Frederick M can be contacted via phone (505) 988-1232.Contact Information
Primary practice address
433 Saint Michaels Dr
Santa Fe NM 87505-7601
Phone: (505) 988-1232
Fax: (505) 984-1603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 78-202 | New Mexico |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 78-202 | New Mexico |
Profile Details
NPI number | 1649276981 |
---|---|
LBN Legal business name | Kullman, Frederick M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Jul 8th, 2013 - about 12 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 | 1649276981 | NPPES |
Other | 202015408 | PRESBYTERIAN HEALTH PLAN | |
Other | NM011553 | PRESBYTERIAN HEALTH PLAN | |
Other | 1699938 | PRESBYTERIAN HEALTH PLAN | |
Other | 10003854 | PRESBYTERIAN HEALTH PLAN | |
MEDICAID | 13672 | PRESBYTERIAN HEALTH PLAN | |
Other | PROVP13502 | PRESBYTERIAN HEALTH PLAN | |
MEDICAID | 44396 | PRESBYTERIAN HEALTH PLAN |
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