Neidhart, Jeffrey D

Neidhart, Jeffrey D is an individual health care provider with primary practice located at 2325 E 30Th St , Farmington NM 87401-8900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Neidhart, Jeffrey D can be contacted via phone (505) 564-6850.

Contact Information

Primary practice address
2325 E 30Th St Farmington NM 87401-8900
Phone: (505) 564-6850
Fax: (505) 564-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2002-0176 New Mexico

Profile Details

NPI number 1801972518
LBN Legal business name Neidhart, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jun 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801972518 NPPES
New Mexico MEDICAID 38022222
New Mexico MEDICAID 93002840
New Mexico Other NM019A39
New Mexico MEDICAID T0445
New Mexico MEDICAID 764086

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