Provider Demographics
NPI:1770881765
Name:ENTERPRISE ANESTHESIA SERVICES, PLLC
Entity type:Organization
Organization Name:ENTERPRISE ANESTHESIA SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEKLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:603-293-7388
Mailing Address - Street 1:129 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6726
Mailing Address - Country:US
Mailing Address - Phone:603-293-7388
Mailing Address - Fax:
Practice Address - Street 1:129 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6726
Practice Address - Country:US
Practice Address - Phone:603-293-7388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH030952-23-11207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty