Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 8638 | NH |
NPI | 1083635379 |
---|---|
Provider Name | Dr. John H Yost |
First Address | Manchester, NH 03102-3765 |
Second Address | Manchester, NH 03102-3765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 21/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00019550 | BCBS (01) | VT |
11642801 | BCBS (01) | NH |
30005930 | (05) | NH |
F07818 | (02) | NH |
ORE1906 | (05) | VT |