Individual
JARROD JOHN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(207) 622-8600
(207) 622-8601
Mailing address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(207) 622-8600
(207) 622-8601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1334
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838363
MEDICARE GROUP ASSIGN
—
01
—
P00320656
MEDICARE RAILROAD
—
Enumeration date
02/09/2006
Last updated
08/23/2013
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