Elliot Breast Health Center
LBN: Elliot Professional Services
Elliot Breast Health Center is an health care organization with primary practice located at 275 Mammoth Rd Ste 1 Elliot Breast Health Center, Manchester NH 03109-4133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Elliot Professional Services can be contacted via phone (603) 668-3067, or through Herman, Richard P. via phone (603) 663-4904.
Contact Information
Primary practice address
275 Mammoth Rd Ste 1 Elliot Breast Health Center
Manchester NH 03109-4133
Phone: (603) 668-3067
Fax: (603) 668-0164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1972579746 |
|---|---|
| LBN Legal business name | Elliot Professional Services |
| DBA Doing business as | Elliot Breast Health Center |
| Authorized official | Herman, Richard P. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jun 20th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972579746 | NPPES |
| New Hampshire | Other | CK3360 | RR MEDICARE GRP PIN |
| New Hampshire | MEDICAID | 30212132 | RR MEDICARE GRP PIN |
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