Corianne L O'Donnell in Bangor - Medical

Corianne L O'Donnell - NPI 1548259211

Corianne L O'Donnell is a Medical in Bangor, Maine. Corianne L O'Donnell practices all healthcare services and medical treatments related to Medical. The NPI Number for Corianne L O'Donnell is 1548259211. The last update date is 2011-01-06.

Corianne L O'Donnell's current location address is 103 Skyline Rd, Bangor, Maine. You can contact this provider via phone number 6105745628. The mailing address for Corianne L O'Donnell is 103 Skyline Rd, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Corianne L O'Donnell
Address 103 Skyline Rd, Bangor, Maine
Phone Number 6105745628
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1548259211
Provider Enumeration Date 2005-10-17
Last Updated Date 2011-01-06

Provider Mailing Address Detail

Address 103 Skyline Rd
City Bangor
State Maine (ME)
Post Code 44012158
Phone Number 6105745628
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1959
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19590 CONNECTICARE
P00336251 RAILROAD MEDICARE

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FAQs about Corianne L O'Donnell

What is the unique identification code assigned to Corianne L O'Donnell by the Centers for Medicare & Medicaid Services?

The Corianne L O'Donnell has been issued the NPI (National Provider Identifier) 1548259211. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Corianne L O'Donnell is geographically located?

The Corianne L O'Donnell is physically situated at the following location: 103 Skyline Rd, Bangor, ME, 44012158.

What is the Corianne L O'Donnell's specialty and taxonomy code?

The Corianne L O'Donnell's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

When did the Corianne L O'Donnell receive its 1548259211?

The Corianne L O'Donnell was issued its 1548259211 on 2005-10-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Corianne L O'Donnell last refreshed?

The information related to the Corianne L O'Donnell, including its address, specialty, and other relevant details, was last updated on 2011-01-06.

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