Doctor Name: | MR. SPENCER KNOWLTON |
NPI Number: | 1649383704 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CEO |
License Number: | NOT REQUIRED |
Business Practice Address: | 14 Mill St Camden, ME - 048431510 |
Business Phone Number: | 2072363006 |
Business Fax Number: | 2072361018 |
Mailing Address: | Po Box 951, CAMDEN |
State: | ME |
Postal Code: | 048430951 |
Phone Number: | 2072363006 |
Fax Number: | 2072361018 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | NOT REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |