Craig R Wallingford in Lebanon - Family Medicine
Craig R Wallingford - NPI 1417935529
Craig R Wallingford is a Family Medicine in Lebanon, Maine. Craig R Wallingford practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Craig R Wallingford is 1417935529. The last update date is 2013-02-21.
Craig R Wallingford's current location address is 180 Center Rd, Lebanon, Maine. You can contact this provider via phone number 2074571461. The mailing address for Craig R Wallingford is 180 Center Rd, Lebanon, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig R Wallingford |
|---|---|
| Address | 180 Center Rd, Lebanon, Maine |
| Phone Number | 2074571461 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1417935529 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2013-02-21 |
Provider Mailing Address Detail
| Address | 180 Center Rd |
|---|---|
| City | Lebanon |
| State | Maine (ME) |
| Post Code | 40273645 |
| Phone Number | 2074571461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 999 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120690000 | ME | -- | |
| 973 | ME | ANTHEM BCBS | |
| 10448809 | ME | FEDERAL ID FOR DBA AS |
Post Comment/ Review Below
Could you please provide the complete street address where Craig R Wallingford is physically located?
The Craig R Wallingford is physically situated at the following address: 180 Center Rd, Lebanon, ME, 40273645.
What is Craig R Wallingford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig R Wallingford is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Craig R Wallingford receive its 1417935529?
The Craig R Wallingford was issued its 1417935529 on 2006-01-09, which is the date when the organization was assigned this unique identifier.
On what date did the Craig R Wallingford receive its 1417935529 assignment from the Centers for Medicare & Medicaid Services?
The Craig R Wallingford was assigned its 1417935529 by the Centers for Medicare & Medicaid Services on 2006-01-09.
As of what date were the Craig R Wallingford's details last updated?
The information pertaining to the Craig R Wallingford, including its address, specialty, and other details, was most recently updated on 2013-02-21.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK