Active NPIIndividual provider

Jennifer Oddleifson, PA-C

Physician Assistant in Waldoboro, Maine

NPI Number1013918036
Practice location
592 West Main St.-, Waldoboro, ME 04572-6030
Fax
207-832-4392
Last updated
February 20, 2014

Jennifer Oddleifson is a Physician Assistant based in Waldoboro, ME. Jennifer Oddleifson practices in Waldoboro, ME and has the professional credentials of PA-C. The NPI Number for Jennifer Oddleifson is 1013918036 and holds a License No. PA - 289 (ME). The current practice location address for Jennifer Oddleifson is 592 West Main St.-, Waldoboro, ME 04572-6030 and can be reached out via phone at 207-832-6394 and via fax at 207-832-4392.

Provider Profile Details

NPI Number
1013918036
Provider Name
Jennifer Oddleifson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
592 West Main St.-, Waldoboro, ME 04572-6030
Phone Number
207-832-6394
Fax Number
207-832-4392
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2005
Last Update Date
February 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
592 West Main St.-
Waldoboro, ME 04572-6030
State
Maine
Zip
04572-6030
Phone Number
207-832-6394
Fax Number
207-832-4392
Waldoboro, ME 04572Get directions →

Provider Business Mailing Address Details

Address
Po Box 745
Newcastle, ME 04553-0745
City
Newcastle
State
ME
Zip
04553-0745
Phone Number
207-563-4511
Fax Number
207-563-4103

License Information

License Number (1)
PA - 289
License State (1)
ME
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA289
License State (2)
ME
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Oddleifson, PA-C?

The NPI number of Jennifer Oddleifson, PA-C is 1013918036. It was assigned on August 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Jennifer Oddleifson, PA-C?

Jennifer Oddleifson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA - 289.

Where does Jennifer Oddleifson, PA-C practice?

The practice location is 592 West Main St.-, Waldoboro, ME 04572-6030. The office can be reached at 207-832-6394 (phone) or 207-832-4392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013918036 directly on the NPPES registry website.

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