Doctor Name: | MR. JOHN S CARPENTER |
NPI Number: | 1679575625 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2358 |
Business Practice Address: | 35 Medical Center Pkwy Ste 201 Augusta, ME - 043308160 |
Business Phone Number: | 2076221959 |
Business Fax Number: | 2074304007 |
Mailing Address: | 35 Medical Center Pkwy Ste 201, AUGUSTA |
State: | ME |
Postal Code: | 043308160 |
Phone Number: | 2076221959 |
Fax Number: | 2074304007 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2358 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |