Pierce, Carl W

Pierce, Carl W is an individual health care provider with primary practice located at 6 E Chestnut St , Augusta ME 04330-5717. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Pierce, Carl W can be contacted via phone (207) 626-4111.

Contact Information

Primary practice address
6 E Chestnut St Augusta ME 04330-5717
Phone: (207) 626-4111
Fax: (207) 626-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA485 Maine
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA485 Maine

Profile Details

NPI number 1093775421
LBN Legal business name Pierce, Carl W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 9th, 2011 - about 15 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 1093775421 NPPES
Maine MEDICAID 432806999

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