| Sgi Realty Llc | |
|
150 Garrison Rd Dover NH 03820-4590 | |
| (603) 516-8888 | |
| (603) 516-8889 |
| Full Name | Sgi Realty Llc |
|---|---|
| Speciality | Social Worker |
| Location | 150 Garrison Rd, Dover, New Hampshire |
| Authorized Official Name and Position | John Hopkins (OWNER) |
| Authorized Official Contact | 6035168888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgi Realty Llc 150 Garrison Rd Dover NH 03820-4590 Ph: (603) 516-8888 | Sgi Realty Llc 150 Garrison Rd Dover NH 03820-4590 Ph: (603) 516-8888 |
| NPI Number | 1235744087 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 6901219351 |
|---|---|
| Medicare Enrollment ID | O20210105000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235744087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| Provider Name | Kelly A Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588642607 PECOS PAC ID: 3971549056 Enrollment ID: I20050629000152 |
| Provider Name | Sarah E Starkweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821633363 PECOS PAC ID: 6406285121 Enrollment ID: I20200401000970 |
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