Blair, Stephen Joseph

Blair, Stephen Joseph is an individual health care provider with primary practice located at 400 Southborough Dr , South Portland ME 04106-3249. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blair, Stephen Joseph can be contacted via phone (207) 761-1100.

Contact Information

Primary practice address
400 Southborough Dr South Portland ME 04106-3249
Phone: (207) 761-1100
Fax: (207) 761-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1236 Maine
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 1236 Maine

Profile Details

NPI number 1992730311
LBN Legal business name Blair, Stephen Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 27th, 2016 - about 9 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 1992730311 NPPES
Maine MEDICAID 00318823

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