Candelore, Andrew J

Candelore, Andrew J is an individual health care provider with primary practice located at 617 Us Route 1 , Scarborough ME 04074-9714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Candelore, Andrew J can be contacted via phone (207) 883-5149.

Contact Information

Primary practice address
617 Us Route 1 Scarborough ME 04074-9714
Phone: (207) 883-5149
Fax: (207) 883-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 880 Maine

Profile Details

NPI number 1649269952
LBN Legal business name Candelore, Andrew J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated May 30th, 2008 - about 16 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 1649269952 NPPES
Maine Other 001649 ANTHEM
Maine MEDICAID 107490000 ANTHEM
Maine Other D93089 ANTHEM

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