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Jacob Hartry Springer, MD
Military Health Care Provider in Kittery, Maine
NPI 1164015442

Jacob Hartry Springer is a Military Health Care Provider based in Portsmouth, ME. Jacob Hartry Springer practices in Kittery, ME and has the professional credentials of MD. The NPI Number for Jacob Hartry Springer is 1164015442 and holds a License No. (Maine).

The current practice location address for Jacob Hartry Springer is 402 Goodrich Avenue, Kittery, ME and can be reached out via phone at 207-438-4940.

Location: 402 Goodrich Avenue, Kittery, ME, 23708-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164015442
Provider Name
Jacob Hartry Springer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
402 Goodrich Avenue, Kittery, ME, 23708-2111
Phone Number
207-438-4940
Fax Number
Provider Enumeration Date
02/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 Goodrich Avenue
City
Kittery
State
Maine
Zip
03904
Phone Number
207-438-4940
Fax Number
person
Provider Business Mailing Address Details
Address
402 Goodrich Avenue
City
Kittery
State
Maine
Zip
03904
Phone Number
207-438-4940
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101276156 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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