1881820355 NPI number — RICHARD IAN CAREY RN/NP

Table of content: RICHARD IAN CAREY RN/NP (NPI 1881820355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881820355 NPI number — RICHARD IAN CAREY RN/NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAREY
Provider First Name:
RICHARD
Provider Middle Name:
IAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN/NP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881820355
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHUA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03064-2716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-689-7959
Provider Business Mailing Address Fax Number:
603-883-0007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHUA
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-689-7978
Provider Business Practice Location Address Fax Number:
603-883-0007
Provider Enumeration Date:
06/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  RN274091 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 068894-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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