Bueno, Jack Thomas

Bueno, Jack Thomas is an individual health care provider with primary practice located at 2300 Southwood Dr , Nashua NH 03063-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bueno, Jack Thomas can be contacted via phone (603) 577-4000.

Contact Information

Primary practice address
2300 Southwood Dr Nashua NH 03063-1818
Phone: (603) 577-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11347 New Hampshire

Profile Details

NPI number 1619990496
LBN Legal business name Bueno, Jack Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 3rd, 2012 - about 14 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 1619990496 NPPES
New Hampshire MEDICAID 30203354

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