Henry, Jacqueline Renee
Henry, Jacqueline Renee is an individual health care provider with primary practice located at 40 S River Rd 58, Bedford NH 03110-6719. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Henry, Jacqueline Renee can be contacted via phone (603) 626-4205.Contact Information
Primary practice address
40 S River Rd 58
Bedford NH 03110-6719
Phone: (603) 626-4205
Fax: (603) 666-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2585 | New Hampshire |
Profile Details
| NPI number | 1427041318 |
|---|---|
| LBN Legal business name | Henry, Jacqueline Renee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427041318 | NPPES |
| New Hampshire | MEDICAID | 30392147 |
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