Balestra, Suellen Tucker

Balestra, Suellen Tucker is an individual health care provider with primary practice located at 243 Elm St , Claremont NH 03743-4921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Balestra, Suellen Tucker can be contacted via phone (603) 542-7771.

Contact Information

Primary practice address
243 Elm St Claremont NH 03743-4921
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 6628 New Hampshire

Profile Details

NPI number 1295874493
LBN Legal business name Balestra, Suellen Tucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295874493 NPPES
New Hampshire MEDICAID 40200340
New Hampshire Other 0000932

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