Delashaw, Clinton Lee

Delashaw, Clinton Lee is an individual health care provider with primary practice located at 35 Medical Center Pkwy , Augusta ME 04330-8160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Delashaw, Clinton Lee can be contacted via phone (207) 621-4116.

Contact Information

Primary practice address
35 Medical Center Pkwy Augusta ME 04330-8160
Phone: (207) 621-4116
Fax: (207) 622-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 016405 Maine

Profile Details

NPI number 1336216571
LBN Legal business name Delashaw, Clinton Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 3rd, 2013 - about 12 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 1336216571 NPPES
Maine MEDICAID 402660000
Maine Other 022763

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