Beauregard, James

Beauregard, James is an individual health care provider with primary practice located at 138 Webster St , Manchester NH 03104-2512. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Beauregard, James can be contacted via phone (603) 645-5977.

Contact Information

Primary practice address
138 Webster St Manchester NH 03104-2512
Phone: (603) 645-5977
Fax: (603) 645-5980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 785 New Hampshire
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6782 Massachusetts

Profile Details

NPI number 1326035734
LBN Legal business name Beauregard, James
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
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 1326035734 NPPES
New Hampshire Other 060084540NH01 ANTHEM
New Hampshire MEDICAID 30010726 ANTHEM

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