Individual
MR. ERIC VENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2816
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y004169NH01
ANTHEM PROVIDER NUMBER
NH
01
—
542065286
TAX IDENTIFICATION NUMBER
NH
01
—
626470
HPHC PROVIDER NUMBER
NH
Enumeration date
01/04/2007
Last updated
12/14/2007
Update your record
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