1770626970 NPI number — PETER B. SAHLIN, MD, PC

Table of content: MR. DARRELL LEE SLATER JR. (NPI 1811868318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770626970 NPI number — PETER B. SAHLIN, MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PETER B. SAHLIN, MD, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1770626970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 910
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANCONIA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03580-0910
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-823-9962
Provider Business Mailing Address Fax Number:
603-823-5936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90 SWIFTWATER RD
Provider Second Line Business Practice Location Address:
COTTAGE HOSPITAL
Provider Business Practice Location Address City Name:
WOODSVILLE
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03785-1421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-747-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAHLIN
Authorized Official First Name:
INEZ
Authorized Official Middle Name:
SARAH
Authorized Official Title or Position:
CLERK
Authorized Official Telephone Number:
603-823-9962

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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