Organization Name: | WESTERN MAINE MULTI-MEDICAL SPECIALISTS |
NPI Number: | 1205150323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN COX (SR VP FISCAL) |
Mailing Address: | 34 Winter St Norway |
State: | ME US |
Postal Code: | 042685620 |
Phone Number: | 2077438031 |
Fax Number: | 2077436672 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |