Doctor Name: | DR. DOUGLAS A OHEIR |
NPI Number: | 1750388484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | POD175 |
Business Practice Address: | 143 Silver St Waterville, ME - 049015833 |
Business Phone Number: | 2078722262 |
Business Fax Number: | 2078728411 |
Mailing Address: | 143 Silver St, WATERVILLE |
State: | ME |
Postal Code: | 049015833 |
Phone Number: | 2078722262 |
Fax Number: | 2078728411 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | POD175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |