MEDICARE: DR. DANIEL F. EUBANK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	6110	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	080081234	OTHER	NH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01-40001	OTHER	NH	UNITED HEALTHCARE
2	H005016	OTHER	NH	TRICARE
3	0107235YPNH01	OTHER	NH	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	3016108	OTHER	NH	AETNA
7	371529	OTHER	NH	MVP HEALTHCARE
8	222594672	OTHER	NH	PRIVATE HEALTHCARE
9	213933	OTHER	NH	CIGNA
10	222594672	OTHER	NH	GREATWEST HEALTHCARE
11	222594672	OTHER	NH	HEALTHCARE VALUE MANAGE
12	E16152	OTHER	NH	HARVARD PILGRIM

General Provider Information

NPI Number	:	1841295797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL F. EUBANK M.D.

Provider Business Mailing Address
First Line	:	250 PLEASANT ST
Second Line	:	CHFHC YEAPLE
City	:	CONCORD
State	:	NH
Zip	:	03301-7539
Country	:	US
Telephone Number	:	603-228-7200
Fax Number	:	603-228-7307

Provider Business Practice Location Address
First Line	:	250 PLEASANT ST
Second Line	:	CHFHC YEAPLE
City	:	CONCORD
State	:	NH
Zip	:	03301-7539
Country	:	US
Telephone Number	:	603-228-7200
Fax Number	:	603-228-7307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/23/2009

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