Ziercher, Brett G

Ziercher, Brett G is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ziercher, Brett G can be contacted via phone (505) 325-5011.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Fax: (505) 609-2259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2004-0679 New Mexico

Profile Details

NPI number 1235103979
LBN Legal business name Ziercher, Brett G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Aug 27th, 2013 - about 11 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 1235103979 NPPES
New Mexico MEDICAID 34828711

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