Beauchamp Bruno, Mayra
Beauchamp Bruno, Mayra is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Beauchamp Bruno, Mayra can be contacted via phone (603) 695-2500.Contact Information
Primary practice address
100 Hitchcock Way
Manchester NH 03104-4125
Phone: (603) 695-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 17621 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 16259 | New Hampshire |
Profile Details
| NPI number | 1003015173 |
|---|---|
| LBN Legal business name | Beauchamp Bruno, Mayra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 26th, 2023 - about last year |
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 | 1003015173 | NPPES |
| New Hampshire | MEDICAID | 3091082 |
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