Wassner, John Dirk
Wassner, John Dirk is an individual health care provider with primary practice located at 465 Saint Michaels Dr Suite 110, Santa Fe NM 87505-7670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wassner, John Dirk can be contacted via phone (505) 954-8720.Contact Information
Primary practice address
465 Saint Michaels Dr Suite 110
Santa Fe NM 87505-7670
Phone: (505) 954-8720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2006-0010 | New Mexico |
Profile Details
| NPI number | 1366410961 |
|---|---|
| LBN Legal business name | Wassner, John Dirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Dec 12th, 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 | 1366410961 | NPPES |
| New Mexico | MEDICAID | 80509568 | |
| New Mexico | Other | 10024478 | |
| New Mexico | Other | 2607463 | |
| New Mexico | Other | NM009X29 | |
| New Mexico | Other | QMYPR0070898 | |
| New Mexico | Other | 202005441 |
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