Smith, John Gerard
Smith, John Gerard is an individual health care provider with primary practice located at 185 Queen City Ave , Manchester NH 03101-7121. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, John Gerard can be contacted via phone (603) 627-1102.Contact Information
Primary practice address
185 Queen City Ave
Manchester NH 03101-7121
Phone: (603) 627-1102
Fax: (603) 647-5524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0157 | New Hampshire |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0571 | New Hampshire |
Profile Details
| NPI number | 1427095728 |
|---|---|
| LBN Legal business name | Smith, John Gerard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 4th, 2024 - about 6 months 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 | 1427095728 | NPPES |
| New Hampshire | MEDICAID | 3077022 | |
| New Hampshire | Other | P00331200 | |
| New Hampshire | Other | P00394782 | |
| New Hampshire | MEDICAID | 320420099 |
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