Provider Demographics
NPI:1194827220
Name:MCGUIRE, JASON BIRCH
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:BIRCH
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CGC RELIANCE
Mailing Address - Street 2:C/O PORTSMOUTH NAVAL SHIPYARD
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:207-438-2605
Mailing Address - Fax:207-438-2099
Practice Address - Street 1:CGC RELIANCE
Practice Address - Street 2:C/O PORTSMOUTH NAVAL SHIPYARD
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:207-438-2605
Practice Address - Fax:207-438-2099
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other