Pinnacle Personalized Healthcare, Pllc | |
2 Manor Pkwy Suite 5 Salem NH 03079-4871 | |
(603) 362-2767 | |
Not Available |
Full Name | Pinnacle Personalized Healthcare, Pllc |
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Speciality | Family Medicine |
Location | 2 Manor Pkwy, Salem, New Hampshire |
Authorized Official Name and Position | Michael Jonathan Stein (SOLE MEMBER OWNER) |
Authorized Official Contact | 6034582233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Personalized Healthcare, Pllc 2 Manor Pkwy Ste 5 Salem NH 03079-4871 Ph: (603) 458-2233 | Pinnacle Personalized Healthcare, Pllc 2 Manor Pkwy Suite 5 Salem NH 03079-4871 Ph: (603) 362-2767 |
NPI Number | 1609312644 |
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Provider Enumeration Date | 01/15/2017 |
Last Update Date | 12/14/2017 |
Medicare PECOS PAC ID | 6507142544 |
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Medicare Enrollment ID | O20170406000386 |
Identifier | Type | State | Issuer |
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1609312644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 7661 (New Hampshire) | Primary |
Provider Name | Michael Stein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689711954 PECOS PAC ID: 1052494523 Enrollment ID: I20080207000420 |
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