Rebecca Katherine Heanssler, RD | |
55 New Rochester Rd Apt 2, Dover, NH 03820-2161 | |
(774) 633-0730 | |
Not Available |
Full Name | Rebecca Katherine Heanssler |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 55 New Rochester Rd Apt 2, Dover, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174287635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1250 (New Hampshire) | Primary |
Provider Name | Concord Hospital-laconia |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
Mailing Address | Practice Location Address |
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Rebecca Katherine Heanssler, RD 55 New Rochester Rd Apt 2, Dover, NH 03820-2161 Ph: (774) 633-0730 | Rebecca Katherine Heanssler, RD 55 New Rochester Rd Apt 2, Dover, NH 03820-2161 Ph: (774) 633-0730 |
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