Medora, Christine Rita

Medora, Christine Rita is an individual health care provider with primary practice located at 45 Lyme Rd Suite 104, Hanover NH 03755-1219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Medora, Christine Rita can be contacted via phone (603) 643-3320.

Contact Information

Primary practice address
45 Lyme Rd Suite 104 Hanover NH 03755-1219
Phone: (603) 643-3320
Fax: (603) 643-3301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12968 New Hampshire

Profile Details

NPI number 1093827446
LBN Legal business name Medora, Christine Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 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 1093827446 NPPES
New Hampshire MEDICAID 30205501
New Hampshire MEDICAID 1011969

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