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NPI Code Detail

MEDICARE: DOUGLAS HINTEN EMCH M.D.

MEDICARE: DOUGLAS HINTEN EMCH M.D.
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
12084P0800XPsychiatry PhysicianMD2006-0643NM

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 : 1891861597
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS HINTEN EMCH M.D.
Provider Business Mailing Address
First Line : 5312 JAGUAR DR
Second Line :
City : SANTA FE
State : NM
Zip : 87507-1827
Country : US
Telephone Number : 505-820-0262
Fax Number : 505-820-9220
Provider Business Practice Location Address
First Line : 2504 CAMINO ENTRADA
Second Line :
City : SANTA FE
State : NM
Zip : 87507-4851
Country : US
Telephone Number : 505-216-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 02/12/2024

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