Smith, Justin
Smith, Justin is an individual health care provider with primary practice located at 4 Elliot Way Ste 200 , Manchester NH 03103-3544. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Smith, Justin can be contacted via phone (603) 669-9200.Contact Information
Primary practice address
4 Elliot Way Ste 200
Manchester NH 03103-3544
Phone: (603) 669-9200
Fax: (260) 230-2053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 073522-23 | New Hampshire |
Profile Details
| NPI number | 1275041642 |
|---|---|
| LBN Legal business name | Smith, Justin |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2018 |
| Last updated | Apr 20th, 2021 - about 5 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 | 1275041642 | NPPES |
| New Hampshire | MEDICAID | 3111508 |
Popular Providers
-
Houston, Nicole T
100 Mcgregor St , Manchester NH 03102-3730 -
Fernandes, Benjamin
138 Webster St , Manchester NH 03104-2512 -
Ward, Shannon Kelly
185 Queen City Ave , Manchester NH 03101-7121 -
Tuohey, John Peter
718 Smyth Rd , Manchester NH 03104-7004 -
Fellman, Jessica L
100 Mcgregor St , Manchester NH 03102-3730 -
Clough, Nycol
100 Mcgregor St , Manchester NH 03102-3770 -
O'Leary, Meaghan
87 Mcgregor St Suite 3100, Manchester NH 03102-3765 -
Johnstone, Bobbie-Jo M.
1 Elliot Way , Manchester NH 03103-3502