Individual
RACHEL E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 PLEASANT ST, EMERGENCY DEPT, CONCORD, NH 03301-7539
(603) 225-2711
(603) 224-6527
Mailing address
250 PLEASANT ST, EMERGENCY DEPT, CONCORD, NH 03301-7539
(603) 225-2711
(603) 224-6527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11565
NH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
11565
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y003783NH04
ANTHEM
NH
01
—
01Y003783NH04
ANTHEM
—
01
—
20251Y
NHBS RAN
—
05
—
2096111
—
MA
05
—
30202077
—
NH
01
—
44289
HARVARD
—
01
—
6010899
MVP
—
01
—
7433333
AETNA
NH
01
—
7433333
AETNA
—
01
—
P00184193
RAILROAD MEDICARE
—
Enumeration date
03/23/2006
Last updated
09/14/2018
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