PHILLIP BRAUCH (NPI# 1730726456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730726456 |
| Entity Type | Individual |
| Full Name | PHILLIP BRAUCH |
| Credential | PA |
| Practice Address |
7 Woodmore Dr Hanover NH 03755-1320 |
| Mailing Address |
24 Airport Rd West Lebanon NH 03784-1663 |
| Practice Telephone | 6036671426 |
| Mailing Telephone | 6032986617 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7 WOODMORE DR |
| City | HANOVER |
| State | NH |
| Zip Code | 03755-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950636 | Yuriko Fujioka | Specialist/Technologist | Hb 6083 Dartmouth College Alumni Gym, Hanover, NH 03755 | 2020-10-20 |
| 1538667761 | Caleb Crowell | Specialist/Technologist | Floren Varsity House Athletic Training Room 111, Dartmouth College, Hanover, NH 03755 | 2018-01-23 |
| 1386159820 | Caitlin M Colitti | Specialist/Technologist | East Wheelock St, Alumni Gymnasium Dartmouth College, Hanover, NH 03755 | 2017-12-06 |
| 1801227566 | Rachel Johnson | Registered Nurse | 1 S Bach St, Hanover, NH 03755 | 2013-12-06 |
| 1528329703 | Martin Lubin | Family Medicine | 21 Lyme Road, Hanover, NH 03755 | 2012-06-04 |
| 1528360435 | Doris Marie Faughnan | Counselor | 50 Greensboro Road, Unit #109, Hanover, NH 03755 | 2010-11-29 |
| 1952612517 | Steven J Mann | Physical Therapist | 45 Lyme Road, Suite 101, Hanover, NH 03755 | 2010-06-29 |
| 1720109143 | Nicole R Humann | Specialist/Technologist | East Wheelock, Hb 6083, Hanover, NH 03755 | 2007-04-03 |
| 1093840951 | Tracy A Purcell | Specialist/Technologist | 1 Crosby St., Davis Varsity House, Hanover, NH 03755 | 2007-02-22 |
| 1043355696 | Jeffrey C. Frechette | Specialist/Technologist | Hb 6083, Dartmouth College, Hanover, NH 03755 | 2007-02-21 |
| Find all providers in zip 03755 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729486 | Anna R Spiczka | Student in an Organized Health Care Education/Training Program | 10689 108th Ave N, Hanover, MN 55341-4124 | 2020-10-27 |
| 1689293342 | Deirdre Grace Caffrey | Student in an Organized Health Care Education/Training Program | 27 W Wheelock St Apt D, Hanover, NH 03755-1722 | 2020-04-13 |
| 1821624974 | Travis Mccain | Student in an Organized Health Care Education/Training Program | 1 Rope Ferry Rd, Hanover, NH 03755-1421 | 2020-03-20 |
| 1780119131 | Douglas Roland Cory | Student in an Organized Health Care Education/Training Program | 12743 Strait Rd, Hanover, MI 49241-9742 | 2017-04-24 |
| 1467906693 | Jillian Binsfield | Student in an Organized Health Care Education/Training Program | 790 Webster St, Hanover, MA 02339-1157 | 2016-08-04 |
| 1922230515 | Cheryl Talbot Mambro | Student in an Organized Health Care Education/Training Program | 40 Longwater Dr, Hanover, MA 02339-1821 | 2009-08-14 |
| 1437772324 | Alyssa Damiano | Student in an Organized Health Care Education/Training Program | 425 Westminster Ave, Hanover, PA 17331-9141 | 2020-05-26 |
| 1639708035 | Charity Havill | Student in an Organized Health Care Education/Training Program | 163 W Main St, Hanover, IN 47243-9477 | 2020-04-07 |
| 1336406123 | Christopher Douglas Baker | Student in an Organized Health Care Education/Training Program | 18 Buck Rd, Hanover, NH 03755-2700 | 2012-04-18 |
| 1598881419 | John David Macdonald | Student in an Organized Health Care Education/Training Program | 5 Rope Ferry Rd, Hanover, NH 03755-1404 | 2007-03-22 |
| Find all providers in HANOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.