| Organization Name: | EAST BANK HEALTH |
| NPI Number: | 1336503515 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES RILEY (PRESIDENT) |
| Mailing Address: | 369 S Main St Brewer |
| State: | ME US |
| Postal Code: | 044122351 |
| Phone Number: | 2072001907 |
| Fax Number: | 2079890970 |
| NPI Enumeration Date: | 04/13/2016 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 1170 DO |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |