Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 17701 | NH |
NPI | 1235572546 |
---|---|
Provider Name | Jonathan Scott Jolin |
First Address | Lebanon, NH 03756-0001 |
Second Address | Lebanon, NH 03756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 30/07/2018 |