Doctor Name: | MR. JOHN PHILIP DOUCETTE |
NPI Number: | 1629004544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT1548 |
Business Practice Address: | 460 Main St Suite 105 Madawaska, ME - 047561014 |
Business Phone Number: | 2077287778 |
Business Fax Number: | 2077287779 |
Mailing Address: | 180 13th Ave, MADAWASKA |
State: | ME |
Postal Code: | 047561251 |
Phone Number: | 2077287778 |
Fax Number: | 2077287779 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | PT1548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |