Iriondo, Manuel

Iriondo, Manuel is an individual health care provider with primary practice located at 18 Old Etna Rd , Lebanon NH 03766-1937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Iriondo, Manuel can be contacted via phone (603) 650-3100.

Contact Information

Primary practice address
18 Old Etna Rd Lebanon NH 03766-1937
Phone: (603) 650-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME51234 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 20971 New Hampshire

Profile Details

NPI number 1205917598
LBN Legal business name Iriondo, Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 14th, 2021 - about 3 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 1205917598 NPPES
Florida Other 04074 BC/BS
Florida MEDICAID 270079400 BC/BS

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