Provider Demographics
NPI:1982801429
Name:HOLZINGER, JENNIFER M (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:HOLZINGER
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:20 CHAMBERS DR STE 1200
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1981
Mailing Address - Country:US
Mailing Address - Phone:603-624-8652
Mailing Address - Fax:
Practice Address - Street 1:20 CHAMBERS DR STE 1200
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT HOOKSETT
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1981
Practice Address - Country:US
Practice Address - Phone:603-624-8652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH14995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3074294Medicaid
NH001876301Medicare PIN