Warren, Ellen Rhea
Warren, Ellen Rhea is an individual health care provider with primary practice located at 630 Paseo Del Pueblo Sur Suite 150, Taos NM 87571-6070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Warren, Ellen Rhea can be contacted via phone (575) 758-3005.Contact Information
Primary practice address
630 Paseo Del Pueblo Sur Suite 150
Taos NM 87571-6070
Phone: (575) 758-3005
Fax: (575) 758-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 82-332 | New Mexico |
Profile Details
| NPI number | 1891753836 |
|---|---|
| LBN Legal business name | Warren, Ellen Rhea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Sep 22nd, 2014 - about 10 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 | 1891753836 | NPPES |
| New Mexico | MEDICAID | 09167 | |
| New Mexico | Other | 080098206 |
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