Deaett, Douglas A
Deaett, Douglas A is an individual health care provider with primary practice located at 125 Mascoma St , Lebanon NH 03766-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deaett, Douglas A can be contacted via phone (603) 448-3121.Contact Information
Primary practice address
125 Mascoma St
Lebanon NH 03766-2647
Phone: (603) 448-3121
Fax: (603) 448-7462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5988 | New Hampshire |
Profile Details
| NPI number | 1033105044 |
|---|---|
| LBN Legal business name | Deaett, Douglas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033105044 | NPPES |
| New Hampshire | MEDICAID | 80000548 | |
| New Hampshire | MEDICAID | 1001226 |
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