Corriveau, Jesse

Corriveau, Jesse is an individual health care provider with primary practice located at 541 Main St , New London NH 03257-7818. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Corriveau, Jesse can be contacted via phone (603) 526-3400.

Contact Information

Primary practice address
541 Main St New London NH 03257-7818
Phone: (603) 526-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1114557105
LBN Legal business name Corriveau, Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2020
Last updated Jan 19th, 2020 - about 4 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 1114557105 NPPES
Other NONE NONE

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