Parker, James P

Parker, James P is an individual health care provider with primary practice located at 119 Gannett Dr , South Portland ME 04106-6942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Parker, James P can be contacted via phone (207) 774-2642.

Contact Information

Primary practice address
119 Gannett Dr South Portland ME 04106-6942
Fax: (207) 774-4293
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD16205 Maine

Profile Details

NPI number 1790712982
LBN Legal business name Parker, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 17th, 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 1790712982 NPPES
Other 022861 ANTHEM
MEDICAID 408400099 ANTHEM

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