Stalker, David Alex
Stalker, David Alex is an individual health care provider with primary practice located at 233 Fairway Ter N Ste B , Clovis NM 88101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stalker, David Alex can be contacted via phone (575) 762-7779.Contact Information
Primary practice address
233 Fairway Ter N Ste B
Clovis NM 88101
Phone: (575) 762-7779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 87-389 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 87-389 | New Mexico |
Profile Details
| NPI number | 1346299096 |
|---|---|
| LBN Legal business name | Stalker, David Alex |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 13th, 2018 - about 7 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 | 1346299096 | NPPES |
| New Mexico | Other | 10002070 | LOVELACE HEALTH SYSTEM |
| New Mexico | MEDICAID | E9226 | LOVELACE HEALTH SYSTEM |
| New Mexico | Other | 128595101 | LOVELACE HEALTH SYSTEM |
| New Mexico | Other | NM009Y93 | LOVELACE HEALTH SYSTEM |
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