Brandes, Mary C

Brandes, Mary C is an individual health care provider with primary practice located at 100 Brickhill Ave , South Portland ME 04106-1999. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Brandes, Mary C can be contacted via phone (207) 761-1502.

Contact Information

Primary practice address
100 Brickhill Ave South Portland ME 04106-1999
Phone: (207) 761-1502
Fax: (207) 774-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD12242 Maine
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD12242 Maine

Profile Details

NPI number 1013908037
LBN Legal business name Brandes, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 25th, 2013 - 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 1013908037 NPPES
Maine Other 000767 ANTHEM
Maine Other M9420 ANTHEM
Maine Other 160028955 ANTHEM
Maine MEDICAID 324350099 ANTHEM
Maine MEDICAID 30003368 ANTHEM
Maine Other 1040667 ANTHEM

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