Hamilton, Willard Dudley
Hamilton, Willard Dudley is an individual health care provider with primary practice located at 43 Hatch Dr Suite 150, Caribou ME 04736-2161. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hamilton, Willard Dudley can be contacted via phone (207) 498-2538.Contact Information
Primary practice address
43 Hatch Dr Suite 150
Caribou ME 04736-2161
Phone: (207) 498-2538
Fax: (207) 498-2539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT540 | Maine |
Profile Details
| NPI number | 1720146863 |
|---|---|
| LBN Legal business name | Hamilton, Willard Dudley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | May 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720146863 | NPPES |
| Maine | Other | 006041 | ANTHEM |
| Maine | MEDICAID | 113100099 | ANTHEM |
| Maine | Other | 580002580 | ANTHEM |
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