Maycock, Thomas Roland
Maycock, Thomas Roland is an sole proprietor health care provider with primary practice located at 9 Fahey St , Belfast ME 04915-6028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maycock, Thomas Roland can be contacted via phone (207) 338-1120.Contact Information
Primary practice address
9 Fahey St
Belfast ME 04915-6028
Phone: (207) 338-1120
Fax: (207) 338-1691
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 008970 | Maine |
Profile Details
NPI number | 1508858549 |
---|---|
LBN Legal business name | Maycock, Thomas Roland |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2005 |
Last updated | Jun 7th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508858549 | NPPES |
Maine | MEDICAID | 118460000 | |
Maine | Other | 010430165 | |
Maine | Other | 012002 | |
Maine | Other | 1041723 |
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