Macgillivray, Dougald C

Macgillivray, Dougald C is an individual health care provider with primary practice located at 887 Congress St Suite 400, Portland ME 04102-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Macgillivray, Dougald C can be contacted via phone (207) 774-6368.

Contact Information

Primary practice address
887 Congress St Suite 400 Portland ME 04102-3100
Phone: (207) 774-6368
Fax: (207) 774-9388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD14162 Maine

Profile Details

NPI number 1275519035
LBN Legal business name Macgillivray, Dougald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 3rd, 2013 - 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 1275519035 NPPES
Maine Other 020029766 RR MEIDCARE
Maine MEDICAID 30009582 RR MEIDCARE
Maine MEDICAID 275310099 RR MEIDCARE

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