Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 5925 | NH |
NPI | 1043245772 |
---|---|
Provider Name | Dr. John G Schlegelmilch |
First Address | Keene, NH 03431-2150 |
Second Address | Keene, NH 03431-1719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E11763 | (02) | NH |