Retina Center Of Maine, Llc Pa
LBN: Retina Center Of Maine, Llc Pa
Retina Center Of Maine, Llc Pa is an health care organization with primary practice located at 195 Fore River Pkwy Ste 480 , Portland ME 04102-2787. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty.
Retina Center Of Maine, Llc Pa can be contacted via phone (207) 773-3937, or through Balles, Mark Wilson via phone (207) 773-3937.
Contact Information
Primary practice address
195 Fore River Pkwy Ste 480
Portland ME 04102-2787
Phone: (207) 773-3937
Fax: (207) 773-0801
Website:
Authorized official contact:
Name: Balles, Mark Wilson Doctor of Medicine (MD)
Phone: (207) 773-3937
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD14047 | Maine |
Profile Details
NPI number | 1801077128 |
---|---|
LBN Legal business name | Retina Center Of Maine, Llc Pa |
DBA Doing business as | |
Authorized official | Balles, Mark Wilson Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 15th, 2007 |
Last updated | Apr 18th, 2017 - about 8 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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