Surgenor, Stephen David

Surgenor, Stephen David is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc - Department Of Anesthesiology, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Surgenor, Stephen David can be contacted via phone (603) 650-4642.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc - Department Of Anesthesiology Lebanon NH 03756-1000
Phone: (603) 650-4642
Fax: (603) 650-0614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 9909 New Hampshire

Profile Details

NPI number 1194740233
LBN Legal business name Surgenor, Stephen David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 12th, 2011 - 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 1194740233 NPPES
New Hampshire MEDICAID 30200040
New Hampshire MEDICAID 0RE5053

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