Mcfadden, Brook L
Mcfadden, Brook L is an individual health care provider with primary practice located at 6621 Gulton Ct Ne , Albuquerque NM 87109-4407. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Mcfadden, Brook L can be contacted via phone (505) 888-0443.Contact Information
Primary practice address
6621 Gulton Ct Ne
Albuquerque NM 87109-4407
Phone: (505) 888-0443
Fax: (505) 888-1398
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD2010-0172 | New Mexico |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35121536 | Ohio |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD2010-0172 | New Mexico |
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | MD2010-0172 | New Mexico |
Profile Details
NPI number | 1508903881 |
---|---|
LBN Legal business name | Mcfadden, Brook L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Oct 28th, 2021 - about 3 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 | 1508903881 | NPPES |
New Mexico | MEDICAID | 29825334 |
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