Haryadi, Yulius Leonard
Haryadi, Yulius Leonard is an individual health care provider with primary practice located at 10 Members Way Fl 5 , Dover NH 03820-5933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Haryadi, Yulius Leonard can be contacted via phone (603) 609-6800.Contact Information
Primary practice address
10 Members Way Fl 5
Dover NH 03820-5933
Phone: (603) 609-6800
Fax: (603) 609-6820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20209 | New Hampshire |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20209 | New Hampshire |
Profile Details
| NPI number | 1164943635 |
|---|---|
| LBN Legal business name | Haryadi, Yulius Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2017 |
| Last updated | Sep 14th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164943635 | NPPES |
| New Hampshire | MEDICAID | 3123048 |
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