Bancroft, John D.

Bancroft, John D. is an individual health care provider with primary practice located at 887 Congress St Suite 410B, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Bancroft, John D. can be contacted via phone (207) 523-3289.

Contact Information

Primary practice address
887 Congress St Suite 410B Portland ME 04102-3100
Fax: (207) 761-8198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 014200 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 014200 Maine

Profile Details

NPI number 1952339178
LBN Legal business name Bancroft, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 3rd, 2011 - about 14 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 1952339178 NPPES
Maine MEDICAID 330460099
Maine MEDICAID 30009613

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