Pattavina, Charles F

Pattavina, Charles F is an individual health care provider with primary practice located at 360 Broadway , Bangor ME 04401-3979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pattavina, Charles F can be contacted via phone (207) 907-3000.

Contact Information

Primary practice address
360 Broadway Bangor ME 04401-3979
Fax: (207) 907-1921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD17854 Maine

Profile Details

NPI number 1417973405
LBN Legal business name Pattavina, Charles F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 3rd, 2022 - about 2 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 1417973405 NPPES
Massachusetts MEDICAID 3186032
Massachusetts Other AA55214

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