Neidhardt, Edward Joseph
Neidhardt, Edward Joseph is an individual health care provider with primary practice located at 103 S Saint Francis Dr Suite C, Santa Fe NM 87501-2458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Neidhardt, Edward Joseph can be contacted via phone (505) 988-5667.Contact Information
Primary practice address
103 S Saint Francis Dr Suite C
Santa Fe NM 87501-2458
Phone: (505) 988-5667
Fax: (505) 820-1632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 89267 | New Mexico |
Profile Details
| NPI number | 1114089000 |
|---|---|
| LBN Legal business name | Neidhardt, Edward Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jun 27th, 2013 - 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 | 1114089000 | NPPES |
| New Mexico | MEDICAID | 000K3526 | |
| New Mexico | MEDICAID | 41814 | |
| New Mexico | Other | HSZ196 |
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