Rock, Michele L

Rock, Michele L is an individual health care provider with primary practice located at 1577 Congress St 2Nd Floor, Portland ME 04102-2169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Rock, Michele L can be contacted via phone (207) 662-1622.

Contact Information

Primary practice address
1577 Congress St 2Nd Floor Portland ME 04102-2169
Phone: (207) 662-1622
Fax: (207) 774-1814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 227777 Massachusetts
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 2060 Maine

Profile Details

NPI number 1861424301
LBN Legal business name Rock, Michele L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 9th, 2011 - about 13 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 1861424301 NPPES
Maine MEDICAID 433909099
Maine MEDICAID 30227312

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