Grandgeorge, Steven Roy
Grandgeorge, Steven Roy is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Grandgeorge, Steven Roy can be contacted via phone (603) 695-2500.Contact Information
Primary practice address
100 Hitchcock Way
Manchester NH 03104-4125
Phone: (603) 695-2500
Fax: (603) 695-2562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 6661 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 6661 | New Hampshire |
Profile Details
| NPI number | 1841236130 |
|---|---|
| LBN Legal business name | Grandgeorge, Steven Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Sep 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841236130 | NPPES |
| New Hampshire | MEDICAID | 30001628 |
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