Fetter, Suzanne Larson

Fetter, Suzanne Larson is an sole proprietor health care provider with primary practice located at 8 Prospect St Nicu, Nashua NH 03060-3925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fetter, Suzanne Larson can be contacted via phone (603) 577-2565.

Contact Information

Primary practice address
8 Prospect St Nicu Nashua NH 03060-3925
Fax: (603) 577-2084
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10820 New Hampshire

Profile Details

NPI number 1205906823
LBN Legal business name Fetter, Suzanne Larson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Sep 19th, 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 1205906823 NPPES
New Hampshire MEDICAID 30201193

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