Dr. Jacob Blaine Oldham
Orthopaedic Surgeon
2050 2nd St Se
Kirtland Afb
, New Mexico 87117-5524
Dr. Jacob Blaine Oldham
Orthopaedic Surgeon
2050 2nd St Se
Kirtland Afb
, New Mexico 87117-5524
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jacob Blaine Oldham
- 2050 2nd St Se
- Kirtland Afb, NM
- Zip : 87117-5524
- Phone :
Second Address
- Dr. Jacob Blaine Oldham
- 2050 2nd St Se
- Kirtland Afb, NM
- Zip : 87117-5524
- Phone : (505) 846-3174
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | MD2005-0490 | NM |
National Provider Identifier
| NPI | 1033109632 |
|---|---|
| Provider Name | Dr. Jacob Blaine Oldham |
| First Address | Kirtland Afb, NM 87117-5524 |
| Second Address | Kirtland Afb, NM 87117-5524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 12/10/2011 |
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.