Guill, Jacklyn R

Guill, Jacklyn R is an individual health care provider with primary practice located at 250 Pleasant St , Concord NH 03301-7559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Guill, Jacklyn R can be contacted via phone (603) 224-2556.

Contact Information

Primary practice address
250 Pleasant St Concord NH 03301-7559
Phone: (603) 224-2556
Fax: (603) 226-5821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4843 Massachusetts

Profile Details

NPI number 1114356292
LBN Legal business name Guill, Jacklyn R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Jan 23rd, 2024 - about 2 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 1114356292 NPPES
Massachusetts MEDICAID 110119409A

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