Graustark, Jordan H

Graustark, Jordan H is an individual health care provider with primary practice located at 1 Pillsbury St Concentra, Concord NH 03301-3556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Graustark, Jordan H can be contacted via phone (603) 223-2300.

Contact Information

Primary practice address
1 Pillsbury St Concentra Concord NH 03301-3556
Phone: (603) 223-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0204P New Hampshire

Profile Details

NPI number 1336187301
LBN Legal business name Graustark, Jordan H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336187301 NPPES
New Hampshire MEDICAID 30331233
New Hampshire MEDICAID 3081765

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