Slaughter, Mary Ellen
Slaughter, Mary Ellen is an individual health care provider with primary practice located at 3917 West Rd Suite 128, Los Alamos NM 87544-2275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Slaughter, Mary Ellen can be contacted via phone (505) 662-4234.Contact Information
Primary practice address
3917 West Rd Suite 128
Los Alamos NM 87544-2275
Phone: (505) 662-4234
Fax: (505) 662-7894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 93243 | New Mexico |
Profile Details
| NPI number | 1922092139 |
|---|---|
| LBN Legal business name | Slaughter, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jun 14th, 2010 - about 15 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 | 1922092139 | NPPES |
| New Mexico | MEDICAID | 51342 |
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