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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134198476 NPPES
New Hampshire MEDICAID 3080134
New Hampshire Other P00228882

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