Jackson Gagne, Beth Marie
Jackson Gagne, Beth Marie is an sole proprietor health care provider with primary practice located at 700 Central Rd. , Rye Beach NH 03871-0418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson Gagne, Beth Marie can be contacted via phone (603) 964-6508.Contact Information
Primary practice address
700 Central Rd.
Rye Beach NH 03871-0418
Phone: (603) 964-6508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1792 | New Hampshire |
Profile Details
| NPI number | 1184790016 |
|---|---|
| LBN Legal business name | Jackson Gagne, Beth Marie |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1184790016 | NPPES |
| New Hampshire | Other | 13Y008401NH01 | BLUE CROSS BLUE SHIELD |
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