Tan, Gim H
Tan, Gim H is an individual health care provider with primary practice located at 813 N Washington Ave , Roswell NM 88201-3941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tan, Gim H can be contacted via phone (575) 622-2606.Contact Information
Primary practice address
813 N Washington Ave
Roswell NM 88201-3941
Phone: (575) 622-2606
Fax: (575) 622-6645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2005-0011 | New Mexico |
Profile Details
| NPI number | 1457323222 |
|---|---|
| LBN Legal business name | Tan, Gim H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Dec 8th, 2021 - about 3 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 | 1457323222 | NPPES |
| New Mexico | MEDICAID | 8026564 |
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