Dr. Ivan John Christov Nicolov
Family Doctor - Hospice and Palliative Medicine
Bia Rte 125
Pine Hill
, New Mexico 87357
Dr. Ivan John Christov Nicolov
Family Doctor - Hospice and Palliative Medicine
Bia Rte 125
Pine Hill
, New Mexico 87357
(505) 775-3930
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Ivan John Christov Nicolov
- Bia Rte 125 310
- Pine Hill, NM
- Zip : 87357
- Fax : (505) 775-3930
- Phone : (505) 775-3271
Second Address
- Dr. Ivan John Christov Nicolov
- Bia Rte 125
- Pine Hill, NM
- Zip : 87357
- Fax : (505) 775-3930
- Phone : (505) 775-3271
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD20060115 | NM |
National Provider Identifier
| NPI | 1649488255 |
|---|---|
| Provider Name | Dr. Ivan John Christov Nicolov |
| First Address | Pine Hill, NM 87357 |
| Second Address | Pine Hill, NM 87357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.