| Organization Name: | MAX HEALTH MAINE LLC |
| NPI Number: | 1851661516 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY ANN SCRIVEN (PHYSICIAN SOLE PROPRIETOR) |
| Mailing Address: | 1226 Shore Rd Max Health Maine Llc Cape Elizabeth |
| State: | ME US |
| Postal Code: | 041072123 |
| Phone Number: | 2076990901 |
| Fax Number: | 2076990902 |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 013535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |