Eddy, Douglas M
Eddy, Douglas M is an individual health care provider with primary practice located at 6 Tsienneto Road Suite 300, Derry NH 03038-0038. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eddy, Douglas M can be contacted via phone (603) 216-0400.Contact Information
Primary practice address
6 Tsienneto Road Suite 300
Derry NH 03038-0038
Phone: (603) 216-0400
Fax: (603) 216-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 6888 | New Hampshire |
Profile Details
| NPI number | 1639263932 |
|---|---|
| LBN Legal business name | Eddy, Douglas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1639263932 | NPPES |
| New Hampshire | MEDICAID | 80000965 |
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