Wise, Sean Robert

Wise, Sean Robert is an individual health care provider with primary practice located at One Medical Center Drive , Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wise, Sean Robert can be contacted via phone (603) 650-8123.

Contact Information

Primary practice address
One Medical Center Drive Lebanon NH 03756-0001
Phone: (603) 650-8123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 19765 New Hampshire

Profile Details

NPI number 1528031614
LBN Legal business name Wise, Sean Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 6th, 2019 - about 5 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 1528031614 NPPES
New Hampshire MEDICAID 3118181
New Hampshire MEDICAID 6701289

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