Stam-Maclaren, Michelle

Stam-Maclaren, Michelle is an individual health care provider with primary practice located at 2111 College Drive Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stam-Maclaren, Michelle can be contacted via phone (505) 863-1820.

Contact Information

Primary practice address
2111 College Drive Rehoboth Mckinley Christian Health Care Services Gallup NM 87301
Phone: (505) 863-1820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 98-397 New Mexico

Profile Details

NPI number 1104898063
LBN Legal business name Stam-Maclaren, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104898063 NPPES
Arizona MEDICAID 433235
Arizona Other 85031326887301A127
Arizona Other 10002353
Arizona Other NM004611
Arizona Other PROVP16359
Arizona MEDICAID S7386

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