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Contact Information

THOMAS PROVOST, DO
580 COURT ST
ANESTHESIA DEPT.
KEENE, NH03431-1715
 Phone: 603-354-5454
 Fax: 603-354-5428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THOMAS PROVOST · (Male)

NPI # 1700826203
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/07/2006
Last updated 04/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 10633
  • NH Medicaid 30220464
  • Other 050071165 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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