Wasp, Garrett Thomas

Wasp, Garrett Thomas is an individual health care provider with primary practice located at One Medical Center Dr Hematology/Oncology, Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wasp, Garrett Thomas can be contacted via phone (603) 650-5529.

Contact Information

Primary practice address
One Medical Center Dr Hematology/Oncology Lebanon NH 03756-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17602 New Hampshire

Profile Details

NPI number 1699119842
LBN Legal business name Wasp, Garrett Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2013
Last updated Sep 6th, 2019 - about 7 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 1699119842 NPPES
New Hampshire MEDICAID 3117458
New Hampshire MEDICAID 6701039

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