Kaczanowski, Michael Robert

Kaczanowski, Michael Robert is an individual health care provider with primary practice located at 8 Prospect St North Ii, Nashua NH 03060-3925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kaczanowski, Michael Robert can be contacted via phone (603) 577-5355.

Contact Information

Primary practice address
8 Prospect St North Ii Nashua NH 03060-3925
Phone: (603) 577-5355
Fax: (603) 577-5356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 13968 New Hampshire

Profile Details

NPI number 1639371263
LBN Legal business name Kaczanowski, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Sep 18th, 2014 - about 11 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 1639371263 NPPES
New Hampshire MEDICAID 3079568
New Hampshire Other RE6661

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