Reyna, Gwendolyn G
Reyna, Gwendolyn G is an sole proprietor health care provider with primary practice located at 801 Encino Pl Ne Suite E-12, Albuquerque NM 87102-2612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Reyna, Gwendolyn G can be contacted via phone (505) 842-5151.Contact Information
Primary practice address
801 Encino Pl Ne Suite E-12
Albuquerque NM 87102-2612
Phone: (505) 842-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD2007-0053 | New Mexico |
Profile Details
| NPI number | 1619157385 |
|---|---|
| LBN Legal business name | Reyna, Gwendolyn G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Jul 9th, 2009 - about 16 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 | 1619157385 | NPPES |
| New Mexico | MEDICAID | 10231773 | |
| New Mexico | MEDICAID | 53938577 | |
| New Mexico | MEDICAID | 46650024 | |
| New Mexico | MEDICAID | 28777841 | |
| New Mexico | MEDICAID | 51305879 | |
| New Mexico | MEDICAID | 01786342 |
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