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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235111048 NPPES
Maine Other P00329673 RR MEDICARE
Maine MEDICAID 327490099 RR MEDICARE

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