Banglmaier, Robert W

Banglmaier, Robert W is an individual health care provider with primary practice located at 770 Congress St , Portland ME 04102-3323. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Banglmaier, Robert W can be contacted via phone (207) 772-8384.

Contact Information

Primary practice address
770 Congress St Portland ME 04102-3323
Phone: (207) 772-8384
Fax: (207) 773-0020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT812 Maine

Profile Details

NPI number 1659360345
LBN Legal business name Banglmaier, Robert W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jan 19th, 2012 - about 12 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 1659360345 NPPES
Maine MEDICAID 295870099

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