Provider Demographics
NPI:1396068466
Name:KAMINKER, ERIN BLOCHER (DOM, LMT)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:BLOCHER
Last Name:KAMINKER
Suffix:
Gender:F
Credentials:DOM, LMT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LEE
Other - Last Name:BLOCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:76 MOYA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8866
Mailing Address - Country:US
Mailing Address - Phone:505-983-6181
Mailing Address - Fax:
Practice Address - Street 1:217 E PALACE AVE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2025
Practice Address - Country:US
Practice Address - Phone:505-984-8830
Practice Address - Fax:505-984-1225
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1019171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist