Hedlund, Jacquelyn A.
Hedlund, Jacquelyn A. is an individual health care provider with primary practice located at 100 Campus Drive Suite 108, Scarborough ME 04074-9308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Hedlund, Jacquelyn A. can be contacted via phone (207) 396-7600.Contact Information
Primary practice address
100 Campus Drive Suite 108
Scarborough ME 04074-9308
Phone: (207) 396-7600
Fax: (207) 396-7986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 13509 | Maine |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 13509 | Maine |
Profile Details
| NPI number | 1699746453 |
|---|---|
| LBN Legal business name | Hedlund, Jacquelyn A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 3rd, 2018 - about 8 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 | 1699746453 | NPPES |
| Maine | Other | 5656679 | AETNA |
| Maine | Other | 6628849 | AETNA |
| Maine | Other | 2017782 | AETNA |
| Maine | Other | 030520 | AETNA |
| Maine | MEDICAID | 288720099 | AETNA |
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