Carnes, Timothy Dewitt

Carnes, Timothy Dewitt is an individual health care provider with primary practice located at 17 Bishop St , Portland ME 04103-2659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Carnes, Timothy Dewitt can be contacted via phone (207) 835-0488.

Contact Information

Primary practice address
17 Bishop St Portland ME 04103-2659
Phone: (207) 835-0488
Fax: (207) 835-0359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 16503 Maine
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 16503 Maine

Profile Details

NPI number 1215917885
LBN Legal business name Carnes, Timothy Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 27th, 2019 - about 6 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 1215917885 NPPES
Maine MEDICAID 4144900099

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