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WESTERN MAINE MULTI-MEDICAL SPECIALISTS

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1841415387

Organizational Registrant:
Organization Name:  WESTERN MAINE MULTI-MEDICAL SPECIALISTS
Organization is not Subpart
Authorized Official:  JOHN  COX  PRESIDENT  207--74-39292

Location and contact information for practice:
193 MAIN ST SUITE 2 NORWAY, ME 04268-5645 US
Tel: 207-743-9292  Fax: 207-743-1578

Contact information for business:
301 US ROUTE 1 BUILDING C SCARBOROUGH, ME 04074-7609 US
Tel: 207-396-8600  Fax: 207-396-8632

Registration Information:
NPI: 1841415387
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
127080003ME05
127080100ME05




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