Healthcare Provider Details

I. General information

NPI: 1083635379
Provider Name (Legal Business Name): JOHN H YOST D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 MCGREGOR ST STE 2200
MANCHESTER NH
03102-3765
US

IV. Provider business mailing address

87 MCGREGOR ST STE 2200
MANCHESTER NH
03102-3765
US

V. Phone/Fax

Practice location:
  • Phone: 603-695-2500
  • Fax:
Mailing address:
  • Phone: 603-695-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number8638
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: