Burtis, Matija M

Burtis, Matija M is an individual health care provider with primary practice located at 12 Andover Rd , Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Burtis, Matija M can be contacted via phone (207) 661-6064.

Contact Information

Primary practice address
12 Andover Rd Portland ME 04102
Phone: (207) 661-6064
Fax: (207) 253-6073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1685 Maine
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X DO1685 Maine

Profile Details

NPI number 1104853001
LBN Legal business name Burtis, Matija M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 24th, 2019 - about 5 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 1104853001 NPPES
Maine MEDICAID 312400099

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