Holmstrom, Jeffrey J

Holmstrom, Jeffrey J is an individual health care provider with primary practice located at 655 Main St , Saco ME 04072-1543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holmstrom, Jeffrey J can be contacted via phone (207) 283-1407.

Contact Information

Primary practice address
655 Main St Saco ME 04072-1543
Phone: (207) 283-1407
Fax: (207) 284-6291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1099 Maine

Profile Details

NPI number 1952387326
LBN Legal business name Holmstrom, Jeffrey J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 5th, 2008 - 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 1952387326 NPPES
Maine MEDICAID 293270099
Maine MEDICAID 30224338
Maine Other B82880
Maine Other MM4279
Maine Other 30224338
Maine Other M107799
Maine Other 003678
Maine Other 080190067

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