Lantz, George Berkley
Lantz, George Berkley is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lantz, George Berkley can be contacted via phone (603) 650-6040.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-6040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0320000509 | Vermont |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 15195 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 15195 | New Hampshire |
Profile Details
| NPI number | 1972565422 |
|---|---|
| LBN Legal business name | Lantz, George Berkley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Sep 9th, 2019 - about 5 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 | 1972565422 | NPPES |
| New Hampshire | MEDICAID | 30229131 | |
| New Hampshire | Other | AA212876 | |
| New Hampshire | Other | 020484753 | |
| New Hampshire | Other | 100000500818 |
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