Sunde, Scott T
Sunde, Scott T is an individual health care provider with primary practice located at 801 Vassar Drive Ne , Albuquerque NM 87106-2725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sunde, Scott T can be contacted via phone (505) 248-4052.Contact Information
Primary practice address
801 Vassar Drive Ne
Albuquerque NM 87106-2725
Phone: (505) 248-4052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 79-285 | New Mexico |
Profile Details
| NPI number | 1558367888 |
|---|---|
| LBN Legal business name | Sunde, Scott T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 15th, 2010 - about 14 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 | 1558367888 | NPPES |
| New Mexico | Other | 8HM190 | MEDICARE PTAN |
| New Mexico | Other | HSZ162 | MEDICARE PTAN |
| New Mexico | MEDICAID | S5549 | MEDICARE PTAN |
| New Mexico | MEDICAID | K3526 | MEDICARE PTAN |
| New Mexico | Other | HSZ196 | MEDICARE PTAN |
| New Mexico | MEDICAID | 05679079 | MEDICARE PTAN |
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