Racusin, Robert Jerrold

Racusin, Robert Jerrold is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc, Department Of Psychiatry, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Racusin, Robert Jerrold can be contacted via phone (603) 650-5835.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc, Department Of Psychiatry Lebanon NH 03756-1000
Fax: (603) 650-0819
Website:

Health care specialties

Profile Details

NPI number 1750459244
LBN Legal business name Racusin, Robert Jerrold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 16th, 2007 - about 18 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 1750459244 NPPES
New Hampshire MEDICAID 00000792
New Hampshire Other 0004602

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