Mintz, Holly P.

Mintz, Holly P. is an individual health care provider with primary practice located at 275 Mammoth Rd Suite #1, Manchester NH 03109-4133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mintz, Holly P. can be contacted via phone (603) 663-8350.

Contact Information

Primary practice address
275 Mammoth Rd Suite #1 Manchester NH 03109-4133
Fax: (603) 663-8399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9778 New Hampshire

Profile Details

NPI number 1093706418
LBN Legal business name Mintz, Holly P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Aug 5th, 2015 - about 10 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 1093706418 NPPES
New Hampshire Other 20123Y ANTHEM REFERRING RAN
New Hampshire Other P041216 ANTHEM REFERRING RAN
New Hampshire MEDICAID 30009797 ANTHEM REFERRING RAN
New Hampshire Other 585082 ANTHEM REFERRING RAN
New Hampshire Other 406453 ANTHEM REFERRING RAN
New Hampshire Other 0107787YPNH01 ANTHEM REFERRING RAN
New Hampshire Other 259711 ANTHEM REFERRING RAN
New Hampshire Other HLO005 ANTHEM REFERRING RAN
New Hampshire Other 1240728 ANTHEM REFERRING RAN

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