Crofoot, David Dean

Crofoot, David Dean is an sole proprietor health care provider with primary practice located at 16 Fahey St 207 Cobb Medical Building, Belfast ME 04915-6029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crofoot, David Dean can be contacted via phone (207) 338-4211.

Contact Information

Primary practice address
16 Fahey St 207 Cobb Medical Building Belfast ME 04915-6029
Phone: (207) 338-4211
Fax: (207) 338-0197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 008917 Maine

Profile Details

NPI number 1184624942
LBN Legal business name Crofoot, David Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Mar 1st, 2012 - about 14 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 1184624942 NPPES
Maine Other 000917 ANTHEM
Maine Other 002915 ANTHEM
Maine MEDICAID 119830000 ANTHEM

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