Tedcastle, Jennifer Anne

Tedcastle, Jennifer Anne is an individual health care provider with primary practice located at 27 New Durham Rd , Alton NH 03809-4917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tedcastle, Jennifer Anne can be contacted via phone (603) 875-6151.

Contact Information

Primary practice address
27 New Durham Rd Alton NH 03809-4917
Phone: (603) 875-6151
Fax: (603) 875-6152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0527 New Hampshire

Profile Details

NPI number 1225294531
LBN Legal business name Tedcastle, Jennifer Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Apr 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225294531 NPPES
New Hampshire MEDICAID 3079252

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