Phelps, David C
Phelps, David C is an individual health care provider with primary practice located at 5901 Harper Dr Ne Pmg Urgent Care, Albuquerque NM 87109-3587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Phelps, David C can be contacted via phone (505) 823-8233.Contact Information
Primary practice address
5901 Harper Dr Ne Pmg Urgent Care
Albuquerque NM 87109-3587
Phone: (505) 823-8233
Fax: (505) 823-8059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD26058 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2013-0032 | New Mexico |
Profile Details
| NPI number | 1336127836 |
|---|---|
| LBN Legal business name | Phelps, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Nov 9th, 2015 - about 10 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 | 1336127836 | NPPES |
| New Mexico | MEDICAID | 22371061 | |
| New Mexico | MEDICAID | 027892 |
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