Ducker, Gavin M
Ducker, Gavin M is an individual health care provider with primary practice located at 300 Professional Dr Ste 2C , Scarborough ME 04074-8897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ducker, Gavin M can be contacted via phone (207) 883-7926.Contact Information
Primary practice address
300 Professional Dr Ste 2C
Scarborough ME 04074-8897
Phone: (207) 883-7926
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD015525 | Maine |
Profile Details
| NPI number | 1013062348 |
|---|---|
| LBN Legal business name | Ducker, Gavin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Apr 8th, 2024 - about last year |
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 | 1013062348 | NPPES |
| Maine | MEDICAID | 116010200 |
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