Eversole, Joan

Eversole, Joan is an sole proprietor health care provider with primary practice located at 2 South Main Street , Plymouth NH 03264. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Eversole, Joan can be contacted via phone (603) 536-1445.

Contact Information

Primary practice address
2 South Main Street Plymouth NH 03264
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1991 New Hampshire

Profile Details

NPI number 1942426317
LBN Legal business name Eversole, Joan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Oct 25th, 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 1942426317 NPPES
New Hampshire MEDICAID 30001900

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