Beverstock, Jillian

Beverstock, Jillian is an individual health care provider with primary practice located at 25 Old Dover Rd , Rochester NH 03867-3464. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Beverstock, Jillian can be contacted via phone (603) 335-6470.

Contact Information

Primary practice address
25 Old Dover Rd Rochester NH 03867-3464
Phone: (603) 335-6470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1831307016
LBN Legal business name Beverstock, Jillian
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1831307016 NPPES
New Hampshire MEDICAID 30931444

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