Eagle, Janine R

Eagle, Janine R is an individual health care provider with primary practice located at One Medical Center Drive Ophthalmology, Lebanon NH 03756-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Eagle, Janine R can be contacted via phone (603) 650-5123.

Contact Information

Primary practice address
One Medical Center Drive Ophthalmology Lebanon NH 03756-0001
Fax: (603) 676-4090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13766 New Hampshire
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 160082 Massachusetts

Profile Details

NPI number 1265415533
LBN Legal business name Eagle, Janine R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 8th, 2020 - about 6 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 1265415533 NPPES
Massachusetts MEDICAID 110061703A
Massachusetts MEDICAID 3084523

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