Individual
JASON G. EMMICK
Active
Individual
JASON G. EMMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11692
NH
208000000X
Pediatrics Physician
11692
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011692
TUFTS PIN
NH
01
—
01YP03984NH01
ANTHEM ACES PIN
NH
01
—
0406992
UHC PIN
NH
01
—
110240392
RR MEDICARE PIN
NH
01
—
20309Y
ANTHEM REFERRING RAN
NH
01
—
2943621
AETNA PIN
NH
05
—
30203090
—
NH
01
—
3849838
CIGNA PIN
NH
01
—
692880
HPHC PIN
NH
Enumeration date
11/02/2005
Last updated
06/20/2008
Update your record
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