Dr. Paul F Engstrom
Ophthalmologist
204 W 2nd St Ste 1
Roswell
, New Mexico 88201-4669
Dr. Paul F Engstrom
Ophthalmologist
204 W 2nd St Ste 1
Roswell
, New Mexico 88201-4669
(575) 625-0131
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Paul F Engstrom
- 204 W 2nd St Ste 1
- Roswell, NM
- Zip : 88201-4669
- Fax : (575) 625-0131
- Phone : (575) 625-0123
Second Address
- Dr. Paul F Engstrom
- 204 W 2nd St Ste 1
- Roswell, NM
- Zip : 88201-4669
- Fax : (575) 625-0131
- Phone : (575) 625-0123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 2000-181 | NM |
National Provider Identifier
| NPI | 1003884602 |
|---|---|
| Provider Name | Dr. Paul F Engstrom |
| First Address | Roswell, NM 88201-4669 |
| Second Address | Roswell, NM 88201-4669 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 28/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12313 | CIDC (01) | NM |
| 76-0161899 | FED TAX ID (01) | NM |
| B22546 | (02) | NM |
| B3625 | (05) | NM |
| NM009129 | BCBS (01) | NM |
| P00344526 | RAILROAD MEDICARE PIN (01) | NM |
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.