Lachance, Jason A

Lachance, Jason A is an individual health care provider with primary practice located at 102 Campus Dr , Scarborough ME 04074-9692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Lachance, Jason A can be contacted via phone (207) 883-0069.

Contact Information

Primary practice address
102 Campus Dr Scarborough ME 04074-9692
Phone: (207) 883-0069
Fax: (207) 883-0999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD12732 Rhode Island
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD18183 Maine

Profile Details

NPI number 1518189349
LBN Legal business name Lachance, Jason A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 6th, 2012 - about 12 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 1518189349 NPPES
New Hampshire MEDICAID 30208744
New Hampshire MEDICAID 434243299

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