Slavich, Jeffrey
Slavich, Jeffrey is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Slavich, Jeffrey can be contacted via phone (603) 650-8622.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 650-8622
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 011256 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1640 | New Hampshire |
Profile Details
NPI number | 1780694000 |
---|---|
LBN Legal business name | Slavich, Jeffrey |
Credentials | RPA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Nov 25th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780694000 | NPPES |
New York | MEDICAID | 02808886 | |
New York | MEDICAID | 6704808 | |
New York | MEDICAID | 3124453 |
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