Glazer, Deborah A

Glazer, Deborah A is an sole proprietor health care provider with primary practice located at 10 Alice Peck Day Dr , Lebanon NH 03766-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Glazer, Deborah A can be contacted via phone (603) 448-3122.

Contact Information

Primary practice address
10 Alice Peck Day Dr Lebanon NH 03766-2900
Fax: (603) 448-7491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7117 New Hampshire

Profile Details

NPI number 1053300095
LBN Legal business name Glazer, Deborah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Apr 14th, 2017 - about 7 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 1053300095 NPPES
New Hampshire MEDICAID 30009660
New Hampshire Other 0457500
New Hampshire Other 1161027
New Hampshire MEDICAID 1001474
New Hampshire Other 0104575YPNH01
New Hampshire Other 00001747

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