Tidwell, Eric Lee
Tidwell, Eric Lee is an sole proprietor health care provider with primary practice located at 5530 1 University Of New Mexico , Albuquerque NM 87131-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Tidwell, Eric Lee can be contacted via phone (505) 272-2269.Contact Information
Primary practice address
5530 1 University Of New Mexico
Albuquerque NM 87131-0001
Phone: (505) 272-2269
Fax: (505) 272-5821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico | |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 010737 | Arizona |
Profile Details
| NPI number | 1508506205 |
|---|---|
| LBN Legal business name | Tidwell, Eric Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2022 |
| Last updated | May 3rd, 2024 - about last year |
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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