Mainella, Mark T.

Mainella, Mark T. is an individual health care provider with primary practice located at 24 Miles Center Way , Damariscotta ME 04543-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mainella, Mark T. can be contacted via phone (207) 563-4252.

Contact Information

Primary practice address
24 Miles Center Way Damariscotta ME 04543-4047
Phone: (207) 563-4252
Fax: (207) 563-4275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1799 Maine
Allopathic & Osteopathic Physicians / Surgery 208600000X DO1799 Maine

Profile Details

NPI number 1174520852
LBN Legal business name Mainella, Mark T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 9th, 2018 - about 7 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 1174520852 NPPES
Maine MEDICAID 283930099

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