Provider Demographics
NPI:1669678298
Name:JEPPESEN, HANS C (MD)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:C
Last Name:JEPPESEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1163
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-1163
Mailing Address - Country:US
Mailing Address - Phone:603-580-9445
Mailing Address - Fax:844-252-2008
Practice Address - Street 1:55 HIGHLAND AVE STE 304
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2100
Practice Address - Country:US
Practice Address - Phone:978-354-4611
Practice Address - Fax:978-354-4651
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2021-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA249997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine