Walter N Hearn in Kennebunk - Physician Assistant

Walter N Hearn - NPI 1790704625

Walter N Hearn is a Physician Assistant in Kennebunk, Maine. Walter N Hearn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Walter N Hearn is 1790704625. The last update date is 2013-12-05.

Walter N Hearn's current location address is 26 Barnard Ln, Kennebunk, Maine. You can contact this provider via phone number 2075027074 and fax number 2079851304. The mailing address for Walter N Hearn is 26 Barnard Ln, Kennebunk, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter N Hearn
Address 26 Barnard Ln, Kennebunk, Maine
Phone Number 2075027074
Fax Number 2079851304
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1790704625
Provider Enumeration Date 2006-07-19
Last Updated Date 2013-12-05

Provider Mailing Address Detail

Address 26 Barnard Ln
City Kennebunk
State Maine (ME)
Post Code 40436714
Phone Number 2075027074
Fax Number 2079851304

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA-060
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2421 ME ANTHEM BC/BS
142492 ME USHC
10378298 ME MACHIGONNE
518560 ME CIGNA
295630099 ME --
DO3850 ME HARVARD PILGRIM
80044502 ME RAILROAD MEDICARE
295630099 ME PRIMECARE

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FAQs about Walter N Hearn

What is the Walter N Hearn's unique identification number?

The Walter N Hearn has been assigned the NPI (National Provider Identifier) Number 1790704625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Walter N Hearn located?

The Walter N Hearn is located at 26 Barnard Ln, Kennebunk, ME 40436714.

What is Walter N Hearn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Walter N Hearn's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Walter N Hearn receive its 1790704625 assignment from the Centers for Medicare & Medicaid Services?

The Walter N Hearn was assigned its 1790704625 by the Centers for Medicare & Medicaid Services on 2006-07-19.

As of what date were the details pertaining to Walter N Hearn last refreshed?

The information related to the Walter N Hearn, including its address, specialty, and other relevant details, was last updated on 2013-12-05.

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