Richard E Nordgren
Child Neurologist
1 Medical Center Dr
Lebanon
, New Hampshire 03756-1000
Richard E Nordgren
Child Neurologist
1 Medical Center Dr
Lebanon
, New Hampshire 03756-1000
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Richard E Nordgren
- 1 Medical Center Dr
- Lebanon, NH
- Zip : 03756-1000
- Phone :
Second Address
- Richard E Nordgren
- 1 Medical Center Dr
- Lebanon, NH
- Zip : 03756-1000
- Phone : (603) 653-9669
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 4710 | NH |
National Provider Identifier
| NPI | 1215948088 |
|---|---|
| Provider Name | Richard E Nordgren |
| First Address | Lebanon, NH 03756-1000 |
| Second Address | Lebanon, NH 03756-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 26/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00000222 | (05) | NH |
| 0004261 | (05) | VT |
| E45788 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.