Hauthaway, Malcolm

Hauthaway, Malcolm is an individual health care provider with primary practice located at 330 Borthwick Ave Ste 308 , Portsmouth NH 03801-7112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hauthaway, Malcolm can be contacted via phone (603) 431-5242.

Contact Information

Primary practice address
330 Borthwick Ave Ste 308 Portsmouth NH 03801-7112
Phone: (603) 431-5242
Fax: (603) 433-4045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1396792156
LBN Legal business name Hauthaway, Malcolm
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 18th, 2020 - about 5 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 1396792156 NPPES
New Hampshire MEDICAID 3076274

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