Healthcare Provider Details

I. General information

NPI: 1699920918
Provider Name (Legal Business Name): DR. ROBERT E. HEMMEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AARON NONE HEMMEN D.O.M.

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 04/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BOB ST.
SANTA FE NM
87501-2375
US

IV. Provider business mailing address

125 BOB ST
SANTA FE NM
87501-1712
US

V. Phone/Fax

Practice location:
  • Phone: 505-983-7716
  • Fax:
Mailing address:
  • Phone: 505-983-7716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number368
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: