Davoren, Timothy P

Davoren, Timothy P is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davoren, Timothy P can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2603
Phone: (207) 828-2100
Fax: (207) 828-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1285 Maine

Profile Details

NPI number 1588648869
LBN Legal business name Davoren, Timothy P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 26th, 2009 - about 16 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 1588648869 NPPES
Maine MEDICAID 010378502

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