Travis Wiggett is a Professional in Brunswick, Maine. Travis Wiggett practices all healthcare services and medical treatments related to Professional. The NPI Number for Travis Wiggett is 1598812844. The last update date is 2019-07-25.
Travis Wiggett's current location address is 14 Maine St Ste 216d, Brunswick, Maine. You can contact this provider via phone number 2074062697. The mailing address for Travis Wiggett is 14 Maine St Ste 216d, Brunswick, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Wiggett |
|---|---|
| Address | 14 Maine St Ste 216d, Brunswick, Maine |
| Phone Number | 2074062697 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LCPC |
NPI Number Detail
| NPI Number | 1598812844 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2019-07-25 |
Provider Mailing Address Detail
| Address | 14 Maine St Ste 216d |
|---|---|
| City | Brunswick |
| State | Maine (ME) |
| Post Code | 40112082 |
| Phone Number | 2074062697 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | CC3364 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 413206 | RI | BLUE CHIP | |
| FM49368 | RI | -- | |
| 31234-7 | RI | BLUE CROSS |
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What is the unique 10-digit identifier code issued to Travis Wiggett by the Centers for Medicare & Medicaid Services?
The Travis Wiggett has been assigned the NPI (National Provider Identifier) 1598812844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Travis Wiggett is geographically located?
The Travis Wiggett is physically situated at the following location: 14 Maine St Ste 216D, Brunswick, ME, 40112082.
What is the Travis Wiggett's specialty and taxonomy code?
The Travis Wiggett's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598812844 to Travis Wiggett?
The Travis Wiggett received its 1598812844 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the Travis Wiggett's details last updated?
The information pertaining to the Travis Wiggett, including its address, specialty, and other details, was most recently updated on 2019-07-25.