Kazanovicz, Peter J

Kazanovicz, Peter J is an sole proprietor health care provider with primary practice located at 169 S River Rd Suite 14A, Bedford NH 03110-6971. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Kazanovicz, Peter J can be contacted via phone (603) 622-5200.

Contact Information

Primary practice address
169 S River Rd Suite 14A Bedford NH 03110-6971
Phone: (603) 622-5200
Fax: (603) 644-2354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X 96-270-08 New Hampshire

Profile Details

NPI number 1154429736
LBN Legal business name Kazanovicz, Peter J
Credentials B.C.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1154429736 NPPES
Massachusetts MEDICAID 7501595

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