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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194740233 | NPPES |
| New Hampshire | MEDICAID | 30200040 | |
| New Hampshire | MEDICAID | 0RE5053 |
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