Vega, Audrey
Vega, Audrey is an individual health care provider with primary practice located at 350 W Country Club Rd Ste 101 , Roswell NM 88201-5222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vega, Audrey can be contacted via phone (575) 622-1841.Contact Information
Primary practice address
350 W Country Club Rd Ste 101
Roswell NM 88201-5222
Phone: (575) 622-1841
Fax: (575) 622-5317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 95-151 | New Mexico |
Profile Details
| NPI number | 1659368256 |
|---|---|
| LBN Legal business name | Vega, Audrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Sep 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659368256 | NPPES |
| New Mexico | MEDICAID | E8609 | |
| New Mexico | Other | NPI & TIN |
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