Henry, Jarrod John

Henry, Jarrod John is an individual health care provider with primary practice located at 12 Shuman Ave , Augusta ME 04330-6020. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Henry, Jarrod John can be contacted via phone (207) 622-8600.

Contact Information

Primary practice address
12 Shuman Ave Augusta ME 04330-6020
Phone: (207) 622-8600
Fax: (207) 622-8601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1334 Maine

Profile Details

NPI number 1083687024
LBN Legal business name Henry, Jarrod John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 23rd, 2013 - about 11 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 1083687024 NPPES
Other 838363 MEDICARE GROUP ASSIGN
Other P00320656 MEDICARE GROUP ASSIGN
Other 838363 MEDICARE GROUP ASSIGN

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