1932290970 NPI number — MR. GEORGE ROCK HAMEL DC

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932290970 NPI number — MR. GEORGE ROCK HAMEL DC

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HAMEL

Provider First Name:

GEORGE

Provider Middle Name:

ROCK

Provider Name Prefix Text:

MR.

Provider Name Suffix Text:

Provider Credential Text:

DC

Provider Gender Code:

M

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:

1932290970

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/08/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1758 BROWN AVENUE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MANCHESTER

Provider Business Mailing Address State Name:

NH

Provider Business Mailing Address Postal Code:

03103-6758

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

603-627-1511

Provider Business Mailing Address Fax Number:

603-206-5739

Provider First Line Business Practice Location Address:

1758 BROWN AVENUE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

MANCHESTER

Provider Business Practice Location Address State Name:

NH

Provider Business Practice Location Address Postal Code:

03103-6758

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

603-627-1511

Provider Business Practice Location Address Fax Number:

603-206-5739

Provider Enumeration Date:

09/27/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 111N00000X , with the licence number:  359A , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 05084840NH01 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
• Identifier: 442624 . This is a "PRIVATE HEALTH CARE SYSTE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0736359 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 10904818 . This is a "CAQH" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
• Identifier: 0005496053 . This is a "AETNA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 045560 . This is a "HEALTHSOURCE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
• Identifier: 80008484 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
• Identifier: NA1737 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 615579 . This is a "ACN GROUP" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 7444975 . This is a "COMMUNITY CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: P622137 . This is a "OXFORD HEALTHCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".