Dicesare, Kevin J

Dicesare, Kevin J is an individual health care provider with primary practice located at 44 Stiles Rd , Salem NH 03079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dicesare, Kevin J can be contacted via phone (603) 893-3548.

Contact Information

Primary practice address
44 Stiles Rd Salem NH 03079
Phone: (603) 893-3548
Fax: (603) 898-4779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12784 New Hampshire

Profile Details

NPI number 1265491674
LBN Legal business name Dicesare, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265491674 NPPES
New Hampshire Other 794877 MVP PIN
New Hampshire MEDICAID 30205115 MVP PIN
New Hampshire Other 01Y008391NH01 MVP PIN
New Hampshire Other 2042889 MVP PIN

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