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
Fax: (505) 298-2731
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295733467 NPPES
New Mexico MEDICAID 45245

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