Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 9687 | NH |
NPI | 1205839784 |
---|---|
Provider Name | Dr. Gail B Fayre |
First Address | Amesbury, MA 01913-3530 |
Second Address | Newburyport, MA 01950-3867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 29/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010122729 | RAILROAD MEDICARE ID# (01) | NH |
01-04592 | UNITED HEALTHCARE ID# (01) | NH |
0106222Y0NH01 | ANTHEM HFH ID# (01) | NH |
0106222YPNH01 | ANTHEM ID# (01) | NH |
2139311 | CIGNA ID # (01) | NH |
222594672 | GREATWEST HEALTHCARE ID# (01) | NH |
222594672 | HEALTH CARE VALUE MANAG# (01) | NH |
222594672 | PRIVATE HEALTH CARE ID# (01) | NH |
3009542 | (05) | NH |
3016256 | AETNA ID# (01) | NH |
371551 | MVP HEALTHCARE ID# (01) | NH |
371552 | MVP HEALTHCARE HFH ID# (01) | NH |
G33728 | (02) | NH |
G33728 | HARVARD PILGRIM ID # (01) | NH |
H005016 | TRICARE ID# (01) | NH |