Jacques, Rebecca A
Jacques, Rebecca A is an individual health care provider with primary practice located at 10 Members Way Suite 203, Dover NH 03820-5933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jacques, Rebecca A can be contacted via phone (603) 609-6930.Contact Information
Primary practice address
10 Members Way Suite 203
Dover NH 03820-5933
Phone: (603) 609-6930
Fax: (603) 609-6931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 042429-23 | New Hampshire |
Profile Details
| NPI number | 1255387882 |
|---|---|
| LBN Legal business name | Jacques, Rebecca A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Feb 25th, 2015 - about 9 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 | 1255387882 | NPPES |
| New Hampshire | MEDICAID | 3075764 |
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