Pottle, Jennifer

Pottle, Jennifer is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5503. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Pottle, Jennifer can be contacted via phone (603) 431-6703.

Contact Information

Primary practice address
1145 Sagamore Ave Portsmouth NH 03801-5503
Phone: (603) 431-6703
Fax: (603) 430-3753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1831510346
LBN Legal business name Pottle, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2013
Last updated Feb 23rd, 2017 - about 8 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 1831510346 NPPES
New Hampshire MEDICAID 3078870

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