Renvyle, Tad T
Renvyle, Tad T is an individual health care provider with primary practice located at 703 Riverway Pl , Bedford NH 03110-6745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Renvyle, Tad T can be contacted via phone (603) 627-1661.Contact Information
Primary practice address
703 Riverway Pl
Bedford NH 03110-6745
Phone: (603) 627-1661
Fax: (603) 669-6944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD20616 | Maine |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11573 | New Hampshire |
Profile Details
| NPI number | 1437122231 |
|---|---|
| LBN Legal business name | Renvyle, Tad T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Feb 22nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437122231 | NPPES |
| New Hampshire | MEDICAID | 30202047 |
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