Northeast Nephrology Pa

LBN: Northeast Nephrology Pa
Northeast Nephrology Pa is an health care organization with primary practice located at 417 State St Ste 321, Bangor ME 04401-6638. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Northeast Nephrology Pa can be contacted via phone (207) 973-8833, or through Comeau, Stephen G via phone (207) 973-8833.

Contact Information

Primary practice address
417 State St Ste 321 Bangor ME 04401-6638
Phone: (207) 973-8833
Fax: (207) 973-8836
Website:
Map and Directions
Authorized official contact:
Name: Comeau, Stephen G Doctor of Medicine (MD)
Phone: (207) 973-8833

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1336145200
LBN Legal business name Northeast Nephrology Pa
DBA Doing business as
Authorized official Comeau, Stephen G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated May 4th, 2010 - about 16 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 1336145200 NPPES
Maine MEDICAID 132020000

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