Mamon, John

Mamon, John is an individual health care provider with primary practice located at 6 Glen Cove Dr , Rockport ME 04856-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mamon, John can be contacted via phone (207) 662-4735.

Contact Information

Primary practice address
6 Glen Cove Dr Rockport ME 04856-4272
Phone: (207) 662-4735
Fax: (207) 662-6388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036075457 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD23752 Maine

Profile Details

NPI number 1669456406
LBN Legal business name Mamon, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 22nd, 2020 - about 4 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 1669456406 NPPES
Maine MEDICAID 1669456406
Maine MEDICAID 036075457

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