Ingraham, Allan M

Ingraham, Allan M is an individual health care provider with primary practice located at 60 High St Cmhvi-Y1, Lewiston ME 04240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Ingraham, Allan M can be contacted via phone (207) 795-8260.

Contact Information

Primary practice address
60 High St Cmhvi-Y1 Lewiston ME 04240
Phone: (207) 795-8260
Fax: (207) 795-8281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9007 Maine
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 9007 Maine

Profile Details

NPI number 1043298037
LBN Legal business name Ingraham, Allan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Aug 2nd, 2012 - about 12 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 1043298037 NPPES
Maine MEDICAID 110030000

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