Baselice, Jacqueline Anne
Baselice, Jacqueline Anne is an individual health care provider with primary practice located at 15 Old Rollinsford Rd Ste 102 , Dover NH 03820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Baselice, Jacqueline Anne can be contacted via phone (603) 749-4963.Contact Information
Primary practice address
15 Old Rollinsford Rd Ste 102
Dover NH 03820
Phone: (603) 749-4963
Fax: (603) 742-7094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 14486 | New Hampshire |
Profile Details
| NPI number | 1952448300 |
|---|---|
| LBN Legal business name | Baselice, Jacqueline Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 23rd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952448300 | NPPES |
| New Hampshire | MEDICAID | 3074367 |
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