Cunningham, Wayne Kieran

Cunningham, Wayne Kieran is an sole proprietor health care provider with primary practice located at 2760 Main Street Eastern Slope Inn, North Conway NH 03860. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cunningham, Wayne Kieran can be contacted via phone (603) 356-9955.

Contact Information

Primary practice address
2760 Main Street Eastern Slope Inn North Conway NH 03860
Phone: (603) 356-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0331 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 237 New Hampshire

Profile Details

NPI number 1003946112
LBN Legal business name Cunningham, Wayne Kieran
Credentials L.C.M.H.C., L.A.D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Oct 4th, 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 1003946112 NPPES
New Hampshire MEDICAID 30014439

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