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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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