Jacqueline D Mast in Portland - Pediatrics
Jacqueline D Mast - NPI 1588740914
Jacqueline D Mast is a Pediatrics in Portland, Maine. Jacqueline D Mast practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacqueline D Mast is 1588740914. The last update date is 2013-02-02.
Jacqueline D Mast's current location address is 94 Rackleff St, Portland, Maine. You can contact this provider via phone number 2076896278 and fax number 2077474107. The mailing address for Jacqueline D Mast is 94 Rackleff St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline D Mast |
|---|---|
| Address | 94 Rackleff St, Portland, Maine |
| Phone Number | 2076896278 |
| Fax Number | 2077474107 |
| Sole Proprietor | N |
| Credentials | PT, MSED |
NPI Number Detail
| NPI Number | 1588740914 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2013-02-02 |
Provider Mailing Address Detail
| Address | 94 Rackleff St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41033054 |
| Phone Number | 2076896278 |
| Fax Number | 2077474107 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT677ME |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17179 | ME | ANTHEM BCBSME ID | |
| 5947274 | ME | AETNA PIN | |
| 336900099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacqueline D Mast by the Centers for Medicare & Medicaid Services?
The Jacqueline D Mast has been issued the NPI (National Provider Identifier) 1588740914, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jacqueline D Mast's facilities are geographically located?
The facilities of Jacqueline D Mast are physically situated at the following location: 94 Rackleff St, Portland, ME, 41033054.
What is Jacqueline D Mast's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline D Mast's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.
On what date did the Jacqueline D Mast receive the assignment of its 1588740914 from the Centers for Medicare & Medicaid Services?
The Jacqueline D Mast was issued its 1588740914 by the Centers for Medicare & Medicaid Services on 2006-10-27.
As of what date were the details related to Jacqueline D Mast most recently updated or revised?
The information pertaining to Jacqueline D Mast, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-02.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY