National Provider Identifier Database

WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Magnetic Resonance Imaging Radiologic Technologist

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.


NPI Profile & details for WENTWORTH DOUGLASS PHYSICIAN CORPORATION

NPI Number 1447352430
Legal business name
LBN
WENTWORTH DOUGLASS PHYSICIAN CORPORATION
Authorized official JOEL DEGENAARS - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 09/01/2006
Last updated 12/17/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • NH Medicaid: 3081002
  • NH Medicaid: 3084198
  • NH Medicaid: 3123060

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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