Elliot Breast Health Center

LBN: Elliot Professional Services
Elliot Breast Health Center is an health care organization with primary practice located at 275 Mammoth Rd Ste 1 Elliot Breast Health Center, Manchester NH 03109-4133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Elliot Professional Services can be contacted via phone (603) 668-3067, or through Herman, Richard P. via phone (603) 663-4904.

Contact Information

Primary practice address
275 Mammoth Rd Ste 1 Elliot Breast Health Center Manchester NH 03109-4133
Phone: (603) 668-3067
Fax: (603) 668-0164
Website:
Map and Directions
Authorized official contact:
Name: Herman, Richard P.
Phone: (603) 663-4904

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1972579746
LBN Legal business name Elliot Professional Services
DBA Doing business as Elliot Breast Health Center
Authorized official Herman, Richard P.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jun 20th, 2008 - about 16 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 1972579746 NPPES
New Hampshire Other CK3360 RR MEDICARE GRP PIN
New Hampshire MEDICAID 30212132 RR MEDICARE GRP PIN

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