Active NPIIndividual provider

Dr. Chandler W Marietta, MD

Otolaryngology in Laconia, New Hampshire

NPI Number1568477982
Practice location
85 Spring Street, ENT Associates Of New Hampshire, Laconia, NH 03246-3113
Fax
603-524-0945
Last updated
August 31, 2020

Chandler W Marietta is an Otolaryngology based in Laconia, NH. Chandler W Marietta practices in Laconia, NH and has the professional credentials of MD. The NPI Number for Chandler W Marietta is 1568477982 and holds a License No. T0557 (NH). The current practice location address for Chandler W Marietta is 85 Spring Street, ENT Associates Of New Hampshire, Laconia, NH 03246-3113 and can be reached out via phone at 603-524-7402 and via fax at 603-524-0945.

Provider Profile Details

NPI Number
1568477982
Provider Name
Chandler W Marietta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 Spring Street, ENT Associates Of New Hampshire, Laconia, NH 03246-3113
Phone Number
603-524-7402
Fax Number
603-524-0945
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
August 31, 2020
Certification Date
August 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Spring Street
ENT Associates Of New Hampshire
Laconia, NH 03246-3113
Zip
03246-3113
Phone Number
603-524-7402
Fax Number
603-524-0945
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
85 Spring St
Laconia, NH 03246-3113
City
Laconia
State
NH
Zip
03246-3113
Phone Number
603-524-7402
Fax Number
603-524-0945

License Information

License Number (1)
T0557
License State (1)
NH
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
104228
License State (2)
MN
Taxonomy (2)
Otolaryngology · 207Y00000X
License Number (3)
15543
License State (3)
NH
Taxonomy (3)
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Chandler W Marietta, MD?

The NPI number of Dr. Chandler W Marietta, MD is 1568477982. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Chandler W Marietta, MD?

Dr. Chandler W Marietta, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in NH under license number T0557.

Where does Dr. Chandler W Marietta, MD practice?

The practice location is 85 Spring Street, ENT Associates Of New Hampshire, Laconia, NH 03246-3113. The office can be reached at 603-524-7402 (phone) or 603-524-0945 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568477982 directly on the NPPES registry website.

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