Nordstrom, Benjamin R

Nordstrom, Benjamin R is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nordstrom, Benjamin R can be contacted via phone (603) 650-5574.

Contact Information

Primary practice address
1 Medical Center Drive Lebanon NH 03756
Phone: (603) 650-5574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 226027 New York
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 226027 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD432801 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD432801 Pennsylvania

Profile Details

NPI number 1104952373
LBN Legal business name Nordstrom, Benjamin R
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated Jan 5th, 2012 - about 13 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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