Mccann, Dervilla M.

Mccann, Dervilla M. is an individual health care provider with primary practice located at 2 Great Falls Plz , Auburn ME 04210-5966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mccann, Dervilla M. can be contacted via phone (207) 782-4022.

Contact Information

Primary practice address
2 Great Falls Plz Auburn ME 04210-5966
Fax: (207) 784-3537
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 014267 Maine

Profile Details

NPI number 1215908231
LBN Legal business name Mccann, Dervilla M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Feb 16th, 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 1215908231 NPPES
Maine MEDICAID 284120099

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