1376572925 NPI number — DOUGALD F MACARTHUR DO

Table of content: DOUGALD F MACARTHUR DO (NPI 1376572925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376572925 NPI number — DOUGALD F MACARTHUR DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACARTHUR
Provider First Name:
DOUGALD
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
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:
1376572925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 ST JOHNSBURY ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03561
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-735-6060
Provider Business Mailing Address Fax Number:
603-735-6070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 ST JOHNSBURY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-747-3668
Provider Business Practice Location Address Fax Number:
603-747-3024
Provider Enumeration Date:
07/03/2006

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: 207X00000X , with the licence number:  11511 , 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)

  • Identifier: 04Y003894NH08 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 612977900 . This is a "US DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00206070 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30222108 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 787582 . This is a "MVP" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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