Ahern, Jill B

Ahern, Jill B is an individual health care provider with primary practice located at 489 State St C/O Emmc, Bangor ME 04401-6616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ahern, Jill B can be contacted via phone (207) 973-4519.

Contact Information

Primary practice address
489 State St C/O Emmc Bangor ME 04401-6616
Phone: (207) 973-4519
Fax: (207) 992-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 026525 Maine

Profile Details

NPI number 1558469551
LBN Legal business name Ahern, Jill B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558469551 NPPES
Maine Other MM5416 MED B - COASTAL EYE CARE
Maine Other 200051 MED B - COASTAL EYE CARE
Maine Other MM863301 MED B - COASTAL EYE CARE

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