Jeanblanc, William Dean

Jeanblanc, William Dean is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Jeanblanc, William Dean can be contacted via phone (207) 662-2816.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Fax: (207) 662-6783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 016127 Maine

Profile Details

NPI number 1083727606
LBN Legal business name Jeanblanc, William Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 2nd, 2008 - about 16 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 1083727606 NPPES
New Hampshire MEDICAID 3000355

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