Kwan, Albert M

Kwan, Albert M is an individual health care provider with primary practice located at 1820 W 21St St , Clovis NM 88101-4024. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kwan, Albert M can be contacted via phone (575) 762-2207.

Contact Information

Primary practice address
1820 W 21St St Clovis NM 88101-4024
Phone: (575) 762-2207
Fax: (575) 762-7108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 89340 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 89-340 New Mexico

Profile Details

NPI number 1861473803
LBN Legal business name Kwan, Albert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 4th, 2016 - about 8 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 1861473803 NPPES
New Mexico Other 020045902 RAILROAD MEDICARE
New Mexico MEDICAID 10585 RAILROAD MEDICARE

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