Gerwin, Kenneth Stuart

Gerwin, Kenneth Stuart is an sole proprietor health care provider with primary practice located at 718 Smyth Rd , Manchester NH 03104-7004. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gerwin, Kenneth Stuart can be contacted via phone (603) 624-4366.

Contact Information

Primary practice address
718 Smyth Rd Manchester NH 03104-7004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24091 New Jersey

Profile Details

NPI number 1326155417
LBN Legal business name Gerwin, Kenneth Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326155417 NPPES
New Jersey Other 24091 MEDICAL LICENSE

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