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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184790016 NPPES
New Hampshire Other 13Y008401NH01 BLUE CROSS BLUE SHIELD

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