Marder, Ellen J
Marder, Ellen J is an individual health care provider with primary practice located at Unm Clinical Neuroscience Center 2211 Lomas Blvd Ne , Albuquerque NM 87131-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Marder, Ellen J can be contacted via phone (505) 272-3160.Contact Information
Primary practice address
Unm Clinical Neuroscience Center 2211 Lomas Blvd Ne
Albuquerque NM 87131-0001
Phone: (505) 272-3160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | NM 84-73 | New Mexico |
Profile Details
| NPI number | 1164524559 |
|---|---|
| LBN Legal business name | Marder, Ellen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Sep 19th, 2014 - about 11 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 | 1164524559 | NPPES |
| Texas | Other | 752919329 | TAX ID |
| Texas | MEDICAID | 142097801 | TAX ID |
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