Roe, Tommy Gene
Roe, Tommy Gene is an sole proprietor health care provider with primary practice located at 9412 Indian School Rd Ne , Albuquerque NM 87112-2878. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Roe, Tommy Gene can be contacted via phone (505) 565-1155.Contact Information
Primary practice address
9412 Indian School Rd Ne
Albuquerque NM 87112-2878
Phone: (505) 565-1155
Fax: (505) 565-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 279 | New Mexico |
Profile Details
| NPI number | 1720077050 |
|---|---|
| LBN Legal business name | Roe, Tommy Gene |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Feb 28th, 2019 - about 5 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 | 1720077050 | NPPES |
| New Mexico | Other | NM015486 | BCBS PROVIDER NUMBER |
| New Mexico | MEDICAID | 55003800 | BCBS PROVIDER NUMBER |
| New Mexico | MEDICAID | 84001780 | BCBS PROVIDER NUMBER |
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