Dave, Hetal R.
Dave, Hetal R. is an individual health care provider with primary practice located at 138 Webster St , Manchester NH 03104-2512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dave, Hetal R. can be contacted via phone (603) 663-7030.Contact Information
Primary practice address
138 Webster St
Manchester NH 03104-2512
Phone: (603) 663-7030
Fax: (603) 663-7039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12651 | New Hampshire |
Profile Details
| NPI number | 1134198476 |
|---|---|
| LBN Legal business name | Dave, Hetal R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Apr 30th, 2014 - about 10 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 | 1134198476 | NPPES |
| New Hampshire | MEDICAID | 3080134 | |
| New Hampshire | Other | P00228882 |
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