1912263211 NPI number — MS. SUSAN JANE HEMSTREET M.A.

Table of content: MELISSA DANIELLE STOCKTON (NPI 1710500905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912263211 NPI number — MS. SUSAN JANE HEMSTREET M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEMSTREET
Provider First Name:
SUSAN
Provider Middle Name:
JANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
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:
1912263211
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 ALUMNI DRIVE
Provider Second Line Business Mailing Address:
HEALTH WATCH EAP - EXETER HOSPITAL
Provider Business Mailing Address City Name:
EXETER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-580-6689
Provider Business Mailing Address Fax Number:
603-778-9176

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE HAMPTON ROAD
Provider Second Line Business Practice Location Address:
HEALTH WATCH EAP
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-580-6689
Provider Business Practice Location Address Fax Number:
603-778-9176
Provider Enumeration Date:
04/11/2012

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: 106H00000X , with the licence number:  54 , 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)