Siegal, Steven Marc

Siegal, Steven Marc is an individual health care provider with primary practice located at 250 River Rd , Manchester NH 03104. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siegal, Steven Marc can be contacted via phone (603) 668-2020.

Contact Information

Primary practice address
250 River Rd Manchester NH 03104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 445 New Hampshire

Profile Details

NPI number 1942276688
LBN Legal business name Siegal, Steven Marc
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942276688 NPPES
New Hampshire Other 0900124Y0NHO1 ANTHEM
New Hampshire MEDICAID 30351195 ANTHEM
New Hampshire Other 16437 ANTHEM
New Hampshire Other T59402 ANTHEM

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