Aldrich, Jon Gerald

Aldrich, Jon Gerald is an sole proprietor health care provider with primary practice located at 20 W Park St Suite 214, Lebanon NH 03766-1378. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Aldrich, Jon Gerald can be contacted via phone (603) 448-4370.

Contact Information

Primary practice address
20 W Park St Suite 214 Lebanon NH 03766-1378
Fax: (603) 448-4370
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 394 New Hampshire

Profile Details

NPI number 1730227372
LBN Legal business name Aldrich, Jon Gerald
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1730227372 NPPES
New Hampshire Other 1408363Y0NH01 ANTHEM
New Hampshire Other 341027 ANTHEM
New Hampshire MEDICAID OVN-0653 ANTHEM
New Hampshire MEDICAID 30006909 ANTHEM
New Hampshire Other 29080 ANTHEM
New Hampshire Other H08421 ANTHEM

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