Favreau, Elise

Favreau, Elise is an individual health care provider with primary practice located at 555 Auburn St , Manchester NH 03103-4803. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Favreau, Elise can be contacted via phone (603) 623-8863.

Contact Information

Primary practice address
555 Auburn St Manchester NH 03103-4803
Fax:
Website:

Health care specialties

Profile Details

NPI number 1144369703
LBN Legal business name Favreau, Elise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144369703 NPPES
New Hampshire Other 13Y010632NH01 ANTHEM
New Hampshire Other 389989 ANTHEM

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