Dutra, Jill O.
Dutra, Jill O. is an sole proprietor health care provider with primary practice located at 770 Central Ave , Dover NH 03820-3437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dutra, Jill O. can be contacted via phone (603) 742-0101.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1291 | New Hampshire |
Profile Details
| NPI number | 1679098818 |
|---|---|
| LBN Legal business name | Dutra, Jill O. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2017 |
| Last updated | Mar 13th, 2023 - about 3 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 | 1679098818 | NPPES |
| New Hampshire | MEDICAID | 3110787 |
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