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Contact Information

JACKSON SURGICAL ASSISTING SERVICES LLC.
19 CURTIS DR
WINDHAM, ME04062-4704
 Phone: 207-318-4072
 Fax: 207-892-8184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for JACKSON SURGICAL ASSISTING SERVICES LLC · (Female)

NPI # 1881733905
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2007
Last updated 06/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # 048931
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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