Carpenter, John S

Carpenter, John S is an individual health care provider with primary practice located at 35 Medical Center Pkwy Ste 201 , Augusta ME 04330-8160. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carpenter, John S can be contacted via phone (207) 622-1959.

Contact Information

Primary practice address
35 Medical Center Pkwy Ste 201 Augusta ME 04330-8160
Phone: (207) 622-1959
Fax: (207) 430-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2358 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2358 Maine

Profile Details

NPI number 1679575625
LBN Legal business name Carpenter, John S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 11th, 2013 - about 13 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 1679575625 NPPES
Maine MEDICAID 195720199
Maine Other 0004290293
Maine Other 1900009004
Maine Other 027707
Maine Other CIGNA

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