Vaillant, Karen

Vaillant, Karen is an individual health care provider with primary practice located at 141 N Roadrunner Pkwy Ste 224 , Las Cruces NM 88011-2001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vaillant, Karen can be contacted via phone (575) 524-8888.

Contact Information

Primary practice address
141 N Roadrunner Pkwy Ste 224 Las Cruces NM 88011-2001
Fax: (575) 524-8132
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 95-150 New Mexico

Profile Details

NPI number 1144217787
LBN Legal business name Vaillant, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 3rd, 2020 - about 4 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 1144217787 NPPES
New Mexico Other NM001370 BCBS
New Mexico MEDICAID H6266 BCBS

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