Carpenter, Judith Lee

Carpenter, Judith Lee is an individual health care provider with primary practice located at 590 Court Street , Keene NH 03431. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carpenter, Judith Lee can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
590 Court Street Keene NH 03431
Phone: (603) 354-5454
Fax: (603) 354-6692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 001561 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0550030895 Vermont

Profile Details

NPI number 1235268301
LBN Legal business name Carpenter, Judith Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated May 6th, 2014 - 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 1235268301 NPPES
New York Other 001561 LICENSE NUMBER
New York Other 000971 LICENSE NUMBER
New York Other 0550030895 LICENSE NUMBER
New York MEDICAID 9000369 LICENSE NUMBER

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