Dubord, Jacqueline Marie
Dubord, Jacqueline Marie is an individual health care provider with primary practice located at 28 S High St , Bridgton ME 04009-1110. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Dubord, Jacqueline Marie can be contacted via phone (207) 647-5968.Contact Information
Primary practice address
28 S High St
Bridgton ME 04009-1110
Phone: (207) 647-5968
Fax: (207) 647-5919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | LM338 | California |
Profile Details
| NPI number | 1952652448 |
|---|---|
| LBN Legal business name | Dubord, Jacqueline Marie |
| Credentials | CPM, NHCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2012 |
| Last updated | Aug 5th, 2015 - about 10 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 | 1952652448 | NPPES |
| New Hampshire | MEDICAID | 3096289 |
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