Provost, Thomas

Provost, Thomas is an individual health care provider with primary practice located at 580 Court St Anesthesia Dept., Keene NH 03431-1715. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Provost, Thomas can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
580 Court St Anesthesia Dept. Keene NH 03431-1715
Phone: (603) 354-5454
Fax: (603) 354-5428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 10633 New Hampshire
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 10633 New Hampshire
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10633 New Hampshire

Profile Details

NPI number 1700826203
LBN Legal business name Provost, Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 2nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700826203 NPPES
New Hampshire MEDICAID 30220464
New Hampshire Other 050071165

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