Saucedo, Isaac David
Saucedo, Isaac David is an individual health care provider with primary practice located at 1600 E 32Nd St , Silver City NM 88061-7287. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Saucedo, Isaac David can be contacted via phone (575) 538-2981.Contact Information
Primary practice address
1600 E 32Nd St
Silver City NM 88061-7287
Phone: (575) 538-2981
Fax: (575) 388-3373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2006 0053 | New Mexico |
Profile Details
| NPI number | 1760556781 |
|---|---|
| LBN Legal business name | Saucedo, Isaac David |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jan 8th, 2013 - about 12 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 | 1760556781 | NPPES |
| New Mexico | MEDICAID | 10425250 |
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