Entwisle, Beverly J

Entwisle, Beverly J is an individual health care provider with primary practice located at 250 Pleasant Street Yeaple Building, Concord NH 03301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Entwisle, Beverly J can be contacted via phone (603) 228-7200.

Contact Information

Primary practice address
250 Pleasant Street Yeaple Building Concord NH 03301
Phone: (603) 228-7200
Fax: (603) 228-7307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 7945 New Hampshire

Profile Details

NPI number 1700889169
LBN Legal business name Entwisle, Beverly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 24th, 2007 - about 19 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 1700889169 NPPES
New Hampshire Other H005016 TRICARE ID#
New Hampshire Other 3016717 TRICARE ID#
New Hampshire Other 25526 TRICARE ID#
New Hampshire MEDICAID 30002613 TRICARE ID#
New Hampshire Other 371528 TRICARE ID#
New Hampshire Other E14790 TRICARE ID#

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