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
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295874493 | NPPES |
| New Hampshire | MEDICAID | 40200340 | |
| New Hampshire | Other | 0000932 |
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