Cawley, Jacquelyn
Cawley, Jacquelyn is an individual health care provider with primary practice located at 272 Congress St , Portland ME 04101-3637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cawley, Jacquelyn can be contacted via phone (207) 874-2466.Contact Information
Primary practice address
272 Congress St
Portland ME 04101-3637
Phone: (207) 874-2466
Fax: (207) 774-4625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1415 | Maine |
Profile Details
| NPI number | 1346299146 |
|---|---|
| LBN Legal business name | Cawley, Jacquelyn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Nov 26th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346299146 | NPPES |
| Maine | MEDICAID | 296700099 | |
| Maine | MEDICAID | 30227071 |
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