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General NPI Number Information
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NPI Number | 1063736288
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Entity Type | Organization
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Legal Business Name | ROBIN A HALLQUIST M.D.
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 529 SOUTH ROUTE 3 SUITE 11
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City | TWIN MOUNTAIN
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State | NH
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Zip | 03595
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Country | US
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Telephone | 603-846-2250
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Fax | 603-846-2251
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | TWIN MOUNTAIN
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State | NH
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Zip | 03595-0303
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Country | US
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Telephone | 603-846-2250
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Fax | 603-846-2251
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBIN A. HALLQUIST
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Credential | M.D.
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Telephone | 603-846-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11044
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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