Byock, Ira R

Byock, Ira R is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth-Hitchcock Medical Center, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Byock, Ira R can be contacted via phone (603) 650-5402.

Contact Information

Primary practice address
1 Medical Center Dr Dartmouth-Hitchcock Medical Center Lebanon NH 03756-1000
Phone: (603) 650-5402
Fax: (603) 650-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12193 New Hampshire
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 12193 New Hampshire

Profile Details

NPI number 1932115367
LBN Legal business name Byock, Ira R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 22nd, 2011 - about 13 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 1932115367 NPPES
Vermont MEDICAID 1010315
Vermont MEDICAID 30204087

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