Fallon, Paul Anthony

Fallon, Paul Anthony is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fallon, Paul Anthony can be contacted via phone (603) 431-6703.

Contact Information

Primary practice address
1145 Sagamore Ave Portsmouth NH 03801-5585
Fax: (603) 430-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5612N New Hampshire

Profile Details

NPI number 1093889206
LBN Legal business name Fallon, Paul Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 11th, 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 1093889206 NPPES
New Hampshire Other 7706655Y0NH01 BHN
New Hampshire MEDICAID 99003227 BHN

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