Altstatt, Christina M

Altstatt, Christina M is an individual health care provider with primary practice located at 180 Kennedy Memorial Dr Suite 202, Waterville ME 04901-4540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Altstatt, Christina M can be contacted via phone (207) 872-2900.

Contact Information

Primary practice address
180 Kennedy Memorial Dr Suite 202 Waterville ME 04901-4540
Phone: (207) 872-2900
Fax: (207) 872-8495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001084 Maine

Profile Details

NPI number 1770702391
LBN Legal business name Altstatt, Christina M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770702391 NPPES
Maine MEDICAID 432554399

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