Wahrenberger, Jon Walter

Wahrenberger, Jon Walter 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 Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wahrenberger, Jon Walter can be contacted via phone (603) 650-7840.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Fax: (603) 650-6164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8569 New Hampshire

Profile Details

NPI number 1356388037
LBN Legal business name Wahrenberger, Jon Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 7th, 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 1356388037 NPPES
New Hampshire MEDICAID 80001829
New Hampshire MEDICAID 0001829

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