1396017562 NPI number — DENISE MCGARRY LMT

Table of content: DENISE MCGARRY LMT (NPI 1396017562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396017562 NPI number — DENISE MCGARRY LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGARRY
Provider First Name:
DENISE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

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:
1396017562
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
674 BEDFORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW BOSTON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03070-5139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-487-5017
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 HARVEY RD
Provider Second Line Business Practice Location Address:
UNIT 15 RM 6
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03110-6810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-785-7152
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2012

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: 225700000X , with the licence number:  2873M , 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: 2873M . This is a "STATE OF NH, HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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