Southern Maine Physical Medicine And Rehabilitation, Pllc in Gorham - Neuromusculoskeletal Medicine, Sports Medicine
Southern Maine Physical Medicine And Rehabilitation, Pllc - NPI 1487691879
Southern Maine Physical Medicine And Rehabilitation, Pllc is a Neuromusculoskeletal Medicine, Sports Medicine in Gorham, Maine. Southern Maine Physical Medicine And Rehabilitation, Pllc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Southern Maine Physical Medicine And Rehabilitation, Pllc is 1487691879. The last update date is 2008-07-21.
Southern Maine Physical Medicine And Rehabilitation, Pllc's current location address is Po Box 178, Gorham, Maine. You can contact this provider via phone number 2078932992. The mailing address for Southern Maine Physical Medicine And Rehabilitation, Pllc is Po Box 178, Gorham, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Maine Physical Medicine And Rehabilitation, Pllc |
|---|---|
| Address | Po Box 178, Gorham, Maine |
| Phone Number | 2078932992 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Fox I Elwood |
| Credentials | D.O. |
| Telephone Number | 2078932992 |
NPI Number Detail
| NPI Number | 1487691879 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | Po Box 178 |
|---|---|
| City | Gorham |
| State | Maine (ME) |
| Post Code | 40380178 |
| Phone Number | 2078932992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 1709 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Post Comment/ Review Below
What is the unique identifier code issued to Southern Maine Physical Medicine And Rehabilitation, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Maine Physical Medicine And Rehabilitation, Pllc has been assigned the NPI (National Provider Identifier) 1487691879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southern Maine Physical Medicine And Rehabilitation, Pllc's facilities are situated?
The facilities of Southern Maine Physical Medicine And Rehabilitation, Pllc are physically located at the following address: Po Box 178, Gorham, ME, 40380178.
What is Southern Maine Physical Medicine And Rehabilitation, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southern Maine Physical Medicine And Rehabilitation, Pllc is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487691879 to Southern Maine Physical Medicine And Rehabilitation, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1487691879 to Southern Maine Physical Medicine And Rehabilitation, Pllc on 2006-06-02.
As of what date were the details related to Southern Maine Physical Medicine And Rehabilitation, Pllc most recently updated or revised?
The information pertaining to Southern Maine Physical Medicine And Rehabilitation, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-21.