Oddleifson, Jennifer

Oddleifson, Jennifer is an individual health care provider with primary practice located at 592 West Main St.- , Waldoboro ME 04572-6030. 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. Oddleifson, Jennifer can be contacted via phone (207) 832-6394.

Contact Information

Primary practice address
592 West Main St.- Waldoboro ME 04572-6030
Phone: (207) 832-6394
Fax: (207) 832-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA - 289 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA289 Maine

Profile Details

NPI number 1013918036
LBN Legal business name Oddleifson, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 20th, 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 1013918036 NPPES
Maine MEDICAID 290260099

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