1790872265 NPI number — ANNE BAUER PARSONS PH.D

Table of content: ANNE BAUER PARSONS PH.D (NPI 1790872265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790872265 NPI number — ANNE BAUER PARSONS PH.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARSONS
Provider First Name:
ANNE
Provider Middle Name:
BAUER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAPOINTE
Provider Other First Name:
ANNE
Provider Other Middle Name:
BAUER
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1790872265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
87 STILES RD
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03079-2899
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-893-7700
Provider Business Mailing Address Fax Number:
603-893-7331

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
87 STILES RD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03079-2899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-893-7700
Provider Business Practice Location Address Fax Number:
603-893-7331
Provider Enumeration Date:
10/06/2006

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: 103TC0700X , with the licence number:  950 , 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: 30421800 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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