Diener, Jakow

Diener, Jakow is an individual health care provider with primary practice located at 360 Brook Rd , Bethlehem NH 03574-4342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Diener, Jakow can be contacted via phone (603) 616-9916.

Contact Information

Primary practice address
360 Brook Rd Bethlehem NH 03574-4342
Phone: (603) 616-9916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 12255 New Hampshire

Profile Details

NPI number 1902872971
LBN Legal business name Diener, Jakow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 21st, 2021 - about 3 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 1902872971 NPPES
New Hampshire MEDICAID 80300008
New Hampshire Other 5414126
New Hampshire Other 384132
New Hampshire MEDICAID 1010617
New Hampshire Other AA38042
New Hampshire MEDICAID 0196371
New Hampshire Other 01Y007264NH01

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