Sidash, Stanislav
Sidash, Stanislav is an individual health care provider with primary practice located at One Medical Center Drive Anesthesiology, Lebanon NH 03756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sidash, Stanislav can be contacted via phone (603) 650-5922.Contact Information
Primary practice address
One Medical Center Drive Anesthesiology
Lebanon NH 03756
Phone: (603) 650-5922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 271554 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 271554 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17536 | New Hampshire |
Profile Details
| NPI number | 1790129435 |
|---|---|
| LBN Legal business name | Sidash, Stanislav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2013 |
| Last updated | Jun 28th, 2018 - about 8 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 | 1790129435 | NPPES |
| Vermont | MEDICAID | 1027544 | |
| Vermont | MEDICAID | 110126498A | |
| Vermont | MEDICAID | 3104528 |
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