Kole, Jennifer Alice

Kole, Jennifer Alice is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Kole, Jennifer Alice can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X PA1735 Maine

Profile Details

NPI number 1841713633
LBN Legal business name Kole, Jennifer Alice
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Jul 21st, 2022 - about 4 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 1841713633 NPPES
Maine Other PA1735 MAINE BOARD OF LICENSURE IN MEDICINE
Maine Other 1142971 MAINE BOARD OF LICENSURE IN MEDICINE

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