Individual
JANICE A. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 S MAIN ST, SUITE H, WOLFEBORO, NH 03894-4411
(603) 569-7500
(603) 515-2031
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7500
(603) 515-2031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0711
NH
363A00000X
Physician Assistant
MA051169
PA
363A00000X
Physician Assistant
OA000785
PA
363AM0700X
Medical Physician Assistant
25MP00100000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3088665
—
NH
Enumeration date
06/28/2006
Last updated
01/28/2015
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