Mckelvy, Warren Douglas
Mckelvy, Warren Douglas is an sole proprietor health care provider with primary practice located at 313 W. Country Club Rd , Roswell NM 88201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mckelvy, Warren Douglas can be contacted via phone (575) 625-1371.Contact Information
Primary practice address
313 W. Country Club Rd
Roswell NM 88201
Phone: (575) 625-1371
Fax: (575) 625-1490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77-217 | New Mexico |
Profile Details
| NPI number | 1790738565 |
|---|---|
| LBN Legal business name | Mckelvy, Warren Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Oct 29th, 2007 - about 18 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 | 1790738565 | NPPES |
| New Mexico | MEDICAID | 1875 |
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