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NPI Code Detail

MEDICARE: CHRISTINE BEJCEK

MEDICARE: CHRISTINE BEJCEK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396978094
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE BEJCEK
Provider Business Mailing Address
First Line : 5601 DOMINGO RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-1610
Country : US
Telephone Number : 505-268-5295
Fax Number : 505-268-9967
Provider Business Practice Location Address
First Line : 5601 DOMINGO RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-1610
Country : US
Telephone Number : 505-268-5295
Fax Number : 505-268-9967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2009
Last Update Date : 08/27/2009

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Directions to “ CHRISTINE BEJCEK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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