Dreifus, Jonathan
Dreifus, Jonathan is an individual health care provider with primary practice located at 887 Congress St Ste 400, Portland ME 04102-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dreifus, Jonathan can be contacted via phone (207) 774-6368.Contact Information
Primary practice address
887 Congress St Ste 400
Portland ME 04102-3100
Phone: (207) 774-6368
Fax: (207) 662-7996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD13413 | Maine |
Profile Details
| NPI number | 1235111048 |
|---|---|
| LBN Legal business name | Dreifus, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 18th, 2013 - 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 | 1235111048 | NPPES |
| Maine | Other | P00329673 | RR MEDICARE |
| Maine | MEDICAID | 327490099 | RR MEDICARE |
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