Nordgren, Richard E

Nordgren, Richard E is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Nordgren, Richard E can be contacted via phone (603) 653-9669.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Phone: (603) 653-9669
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4710 New Hampshire

Profile Details

NPI number 1215948088
LBN Legal business name Nordgren, Richard E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 26th, 2011 - about 15 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 1215948088 NPPES
New Hampshire MEDICAID 00000222
New Hampshire MEDICAID 0004261

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