Dexter, Judson K.
Dexter, Judson K. is an individual health care provider with primary practice located at 171 West Street , Keene NH 03431. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dexter, Judson K. can be contacted via phone (603) 357-2990.Contact Information
Primary practice address
171 West Street
Keene NH 03431
Phone: (603) 357-2990
Fax: (603) 357-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0315 | New Hampshire |
Profile Details
| NPI number | 1063484749 |
|---|---|
| LBN Legal business name | Dexter, Judson K. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | May 1st, 2018 - about 7 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 | 1063484749 | NPPES |
| New Hampshire | Other | 0907873Y0NH02 | ANTHEM |
| New Hampshire | Other | 150450 | ANTHEM |
| New Hampshire | MEDICAID | 30008943 | ANTHEM |
| New Hampshire | Other | NH0315 | ANTHEM |
| New Hampshire | Other | NH0315 | ANTHEM |
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