Mittleman, Henry Lawrance

Mittleman, Henry Lawrance is an individual health care provider with primary practice located at 6821 Montgomery Ne Ste D, Albuquerque NM 87109-1444. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mittleman, Henry Lawrance can be contacted via phone (505) 881-8081.

Contact Information

Primary practice address
6821 Montgomery Ne Ste D Albuquerque NM 87109-1444
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 98 New Mexico

Profile Details

NPI number 1215945282
LBN Legal business name Mittleman, Henry Lawrance
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215945282 NPPES
New Mexico MEDICAID 53231

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