Sumner, Wendell Weston
Sumner, Wendell Weston is an sole proprietor health care provider with primary practice located at 10110 Spain Rd Ne , Albuquerque NM 87111-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sumner, Wendell Weston can be contacted via phone (505) 294-5065.Contact Information
Primary practice address
10110 Spain Rd Ne
Albuquerque NM 87111-1965
Phone: (505) 294-5065
Fax: (505) 298-2731
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A-569-71 | New Mexico |
Profile Details
NPI number | 1295733467 |
---|---|
LBN Legal business name | Sumner, Wendell Weston |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2005 |
Last updated | Oct 26th, 2011 - about 13 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 | 1295733467 | NPPES |
New Mexico | MEDICAID | 45245 |
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