Marciniak, Eugene Gerard
Marciniak, Eugene Gerard is an individual health care provider with primary practice located at 1170 N Solano Dr Suite K, Las Cruces NM 88001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marciniak, Eugene Gerard can be contacted via phone (505) 528-5137.Contact Information
Primary practice address
1170 N Solano Dr Suite K
Las Cruces NM 88001
Phone: (505) 528-5137
Fax: (505) 528-6024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2000237 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME60572 | Florida |
Profile Details
| NPI number | 1407830458 |
|---|---|
| LBN Legal business name | Marciniak, Eugene Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 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 | 1407830458 | NPPES |
| New Mexico | MEDICAID | 68979 |
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