Gershman-Tewksbury, John C

Gershman-Tewksbury, John C is an individual health care provider with primary practice located at 140 Academy St , Presque Isle ME 04769-3102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Gershman-Tewksbury, John C can be contacted via phone (207) 768-4209.

Contact Information

Primary practice address
140 Academy St Presque Isle ME 04769-3102
Fax: (207) 768-4013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 012546 Maine

Profile Details

NPI number 1053335992
LBN Legal business name Gershman-Tewksbury, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1053335992 NPPES
Maine Other 003962 ANTHEM INDIVIDUAL ID

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