Crofoot, Carmen Denise
Crofoot, Carmen Denise is an individual health care provider with primary practice located at 925 Union St Ste 3 , Bangor ME 04401-3051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Crofoot, Carmen Denise can be contacted via phone (207) 973-9980.Contact Information
Primary practice address
925 Union St Ste 3
Bangor ME 04401-3051
Phone: (207) 973-9980
Fax: (207) 973-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 6049436-1205 | Utah |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 017380 | Maine |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD423432 | Pennsylvania |
Profile Details
| NPI number | 1124070214 |
|---|---|
| LBN Legal business name | Crofoot, Carmen Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 22nd, 2017 - about 7 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 | 1124070214 | NPPES |
| Maine | MEDICAID | 102839688 |
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