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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508858549 NPPES
Maine MEDICAID 118460000
Maine Other 010430165
Maine Other 012002
Maine Other 1041723

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