Mansfield, David E
Mansfield, David E is an individual health care provider with primary practice located at 808 N Union Ave Suite B, Roswell NM 88201-3921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mansfield, David E can be contacted via phone (575) 623-5299.Contact Information
Primary practice address
808 N Union Ave Suite B
Roswell NM 88201-3921
Phone: (575) 623-5299
Fax: (575) 627-6415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 82-249 | New Mexico |
Profile Details
| NPI number | 1609852961 |
|---|---|
| LBN Legal business name | Mansfield, David E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Mar 4th, 2008 - about 16 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 | 1609852961 | NPPES |
| New Mexico | MEDICAID | 11965 | |
| New Mexico | Other | NM011777 |
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