Tidman, Melanie M
Tidman, Melanie M is an individual health care provider with primary practice located at 521 Vineyard Rd Ne , Albuquerque NM 87113-1055. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Tidman, Melanie M can be contacted via phone (505) 344-5756.Contact Information
Primary practice address
521 Vineyard Rd Ne
Albuquerque NM 87113-1055
Phone: (505) 344-5756
Fax: (505) 341-4810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | NM 106 | New Mexico |
Profile Details
| NPI number | 1366487027 |
|---|---|
| LBN Legal business name | Tidman, Melanie M |
| Credentials | M.A., OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1366487027 | NPPES |
| New Mexico | Other | 26814 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | MEDICAID | 000D1112 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | NM00E372 | PRESBYTERIAN HEALTH PLAN |
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