Gratwick, Geoffrey M

Gratwick, Geoffrey M is an individual health care provider with primary practice located at 900 Broadway , Bangor ME 04401-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gratwick, Geoffrey M can be contacted via phone (207) 907-1187.

Contact Information

Primary practice address
900 Broadway Bangor ME 04401-1900
Fax: (207) 907-1189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD8989 Maine

Profile Details

NPI number 1538185293
LBN Legal business name Gratwick, Geoffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 3rd, 2014 - 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 1538185293 NPPES
Maine MEDICAID 108050000

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