Zischkau, Douglas

Zischkau, Douglas is an individual health care provider with primary practice located at 5055 Mcnutt Rd , Santa Teresa NM 88008-9442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zischkau, Douglas can be contacted via phone (575) 589-5005.

Contact Information

Primary practice address
5055 Mcnutt Rd Santa Teresa NM 88008-9442
Phone: (575) 589-5005
Fax: (575) 589-1333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 92381 New Mexico

Profile Details

NPI number 1558325969
LBN Legal business name Zischkau, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 15th, 2016 - about 9 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 1558325969 NPPES
New Mexico Other 396826ZS5H WELLMED PTAN
New Mexico MEDICAID 14645 WELLMED PTAN

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