Mutter, Christopher Matthew

Mutter, Christopher Matthew is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mutter, Christopher Matthew can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 828-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101022053 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101022053 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO2974 Maine

Profile Details

NPI number 1104231687
LBN Legal business name Mutter, Christopher Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Nov 10th, 2021 - about 4 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 1104231687 NPPES
Maine MEDICAID 1104231687

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