Pickus, Owen B

Pickus, Owen B is an sole proprietor health care provider with primary practice located at 2 Chabot St , Westbrook ME 04092-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pickus, Owen B can be contacted via phone (207) 857-9311.

Contact Information

Primary practice address
2 Chabot St Westbrook ME 04092-4817
Fax: (207) 857-9324
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 977 Maine

Profile Details

NPI number 1174565667
LBN Legal business name Pickus, Owen B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Dec 29th, 2009 - about 16 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 1174565667 NPPES
Maine MEDICAID 110890199

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