Raes, Daniel E

Raes, Daniel E is an individual health care provider with primary practice located at 300 W Country Club Rd Suite# 220, Roswell NM 88201-5202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raes, Daniel E can be contacted via phone (505) 625-1292.

Contact Information

Primary practice address
300 W Country Club Rd Suite# 220 Roswell NM 88201-5202
Phone: (505) 625-1292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 94-126 New Mexico

Profile Details

NPI number 1366439978
LBN Legal business name Raes, Daniel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 9th, 2011 - about 13 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 1366439978 NPPES
New Mexico MEDICAID 30722
New Mexico Other NPI#

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