Doctor Name: | JANE E CARREIRO |
NPI Number: | 1104801968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 1321 |
Business Practice Address: | 655 Main St Saco, ME - 040721543 |
Business Phone Number: | 2072831407 |
Business Fax Number: | 2072846291 |
Mailing Address: | Po Box 626, BIDDEFORD |
State: | ME |
Postal Code: | 040050626 |
Phone Number: | 2072837000 |
Fax Number: | 2072846291 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 1321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |