1285061093 NPI number — MRS. JAMIE LYNNE DAUER MS OTR/L

Table of content: MRS. JAMIE LYNNE DAUER MS OTR/L (NPI 1285061093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285061093 NPI number — MRS. JAMIE LYNNE DAUER MS OTR/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAUER
Provider First Name:
JAMIE
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS OTR/L
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UHLMAN
Provider Other First Name:
JAMIE
Provider Other Middle Name:
LYNNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS OTR/L
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285061093
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
86 THOMPSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03217-4432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-236-9509
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
186 WAUKEWAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEREDITH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03253-6023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-279-6611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  2328 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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