Blease, Dwight Stephen

Blease, Dwight Stephen is an sole proprietor health care provider with primary practice located at 10 Cushing St , Brunswick ME 04011-1801. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Blease, Dwight Stephen can be contacted via phone (207) 725-2800.

Contact Information

Primary practice address
10 Cushing St Brunswick ME 04011-1801
Phone: (207) 725-2800
Fax: (207) 725-5953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X ME POD 204 Maine
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X ME POD 204 Maine

Profile Details

NPI number 1659465011
LBN Legal business name Blease, Dwight Stephen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 6th, 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 1659465011 NPPES
Maine Other T31402 HARVARD
Maine Other 010446440 HARVARD
Maine Other 000942 HARVARD

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