Individual
DR. SHEILLA MARIE BACHELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 MASCOMA ST, PHYSICIAN PRACTICES AT ALICE PECK DAY MEMORIAL HOSPITAL, LEBANON, NH 03766-2647
(603) 448-3121
Mailing address
125 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14485
NH
390200000X
Student in an Organized Health Care Education/Training Program
BF4323200CW
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020222791
CBA
—
05
—
1016686
—
VT
01
—
1528192986
ANTHEM
NH
01
—
1528192986
BCBS OF VT
VT
01
—
3009866
MVP
—
05
—
30208961
—
NH
01
—
AA155016
HARVARD PILGRIM
—
Enumeration date
03/15/2007
Last updated
03/11/2010
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