Elliot Pediatric Surgery Associates

LBN: Elliot Professional Services
Elliot Pediatric Surgery Associates is an health care organization with primary practice located at 275 Mammoth Rd Ste 1 Elliot Pediatric Surgery Associates, Manchester NH 03109-4133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Elliot Professional Services can be contacted via phone (603) 663-8373, or through Herman, Richard P. via phone (603) 663-4904.

Contact Information

Primary practice address
275 Mammoth Rd Ste 1 Elliot Pediatric Surgery Associates Manchester NH 03109-4133
Fax: (603) 663-8399
Website:
Authorized official contact:
Name: Herman, Richard P.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X New Hampshire

Profile Details

NPI number 1083666986
LBN Legal business name Elliot Professional Services
DBA Doing business as Elliot Pediatric Surgery Associates
Authorized official Herman, Richard P.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2006
Last updated Jun 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083666986 NPPES
New Hampshire Other CK3360 RR MEDICARE
New Hampshire MEDICAID 30214278 RR MEDICARE

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