Storn, Johndavid Mazich
Storn, Johndavid Mazich is an individual health care provider with primary practice located at One Medical Center Dr. , Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Storn, Johndavid Mazich can be contacted via phone (603) 650-7254.Contact Information
Primary practice address
One Medical Center Dr.
Lebanon NH 03756-0001
Phone: (603) 650-7254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042.0015510 | Vermont |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20519 | New Hampshire |
Profile Details
| NPI number | 1710418397 |
|---|---|
| LBN Legal business name | Storn, Johndavid Mazich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2017 |
| Last updated | Apr 13th, 2022 - about 4 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 | 1710418397 | NPPES |
| New Hampshire | MEDICAID | 3122708 | |
| New Hampshire | MEDICAID | 6703741 |
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