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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES LLC
239 PLEASANT ST
PLEASANT VIEW NURSING CENTER
CONCORD, NH03301
 Phone: 603-224-6561
 Fax: 603-224-8530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES LLC · (Female)

NPI Number 1821011792
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2006
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH License # 045267-23-03
  • NH Medicaid 30212261
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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