Fahrenbach, Mary C.

Fahrenbach, Mary C. is an individual health care provider with primary practice located at 96 Campus Drive Suite 1, Scarborough ME 04074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Fahrenbach, Mary C. can be contacted via phone (207) 885-9905.

Contact Information

Primary practice address
96 Campus Drive Suite 1 Scarborough ME 04074
Phone: (207) 885-9905
Fax: (207) 396-5600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD14752 Maine

Profile Details

NPI number 1003858895
LBN Legal business name Fahrenbach, Mary C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 26th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003858895 NPPES
Other 036238 ANTHEM
MEDICAID 30200169 ANTHEM
MEDICAID 296830099 ANTHEM

Popular Providers