Smith, Jesse B

Smith, Jesse B is an individual health care provider with primary practice located at 333 Borthwick Ave , Portsmouth NH 03801-7128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Jesse B can be contacted via phone (603) 433-4008.

Contact Information

Primary practice address
333 Borthwick Ave Portsmouth NH 03801-7128
Phone: (603) 433-4008
Fax: (603) 431-3572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12765 New Hampshire

Profile Details

NPI number 1659449270
LBN Legal business name Smith, Jesse B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Sep 25th, 2012 - about 13 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 1659449270 NPPES
New Hampshire MEDICAID 30205280
New Hampshire Other 01Y008542

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