Maurice R Gardner Dpm Pa

LBN: Maurice R Gardner Dpm Pa
Maurice R Gardner Dpm Pa is an health care organization with primary practice located at 681 Sabattus St , Lewiston ME 04240-3829. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Maurice R Gardner Dpm Pa can be contacted via phone (207) 784-2042, or through Gardner, Maurice R. via phone (207) 784-2042.

Contact Information

Primary practice address
681 Sabattus St Lewiston ME 04240-3829
Phone: (207) 784-2042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Maurice R. Doctor of Podiatric Medicine (DPM)
Phone: (207) 784-2042

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1902954522
LBN Legal business name Maurice R Gardner Dpm Pa
DBA Doing business as
Authorized official Gardner, Maurice R. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 23rd, 2008 - about 17 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 1902954522 NPPES
Maine MEDICAID 121590000

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