Mast Clinic Inc

LBN: Mast Clinic Inc
Mast Clinic Inc is an health care organization with primary practice located at 980 Forest Ave , Portland ME 04103-3388. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Mast Clinic Inc can be contacted via phone (207) 321-9027, or through Mast, Jacqueline D via phone (207) 321-9027.

Contact Information

Primary practice address
980 Forest Ave Portland ME 04103-3388
Phone: (207) 321-9027
Fax: (207) 747-4107
Website:
Map and Directions
Authorized official contact:
Name: Mast, Jacqueline D Physical Therapist (PT)
Phone: (207) 321-9027

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT677 Maine

Profile Details

NPI number 1407818602
LBN Legal business name Mast Clinic Inc
DBA Doing business as
Authorized official Mast, Jacqueline D Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Oct 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407818602 NPPES
Maine MEDICAID 12403000
Maine MEDICAID 336900099
Maine Other 11364602

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