Shipman Pediatrics, Llc

LBN: Shipman Pediatrics, Llc
Shipman Pediatrics, Llc is an health care organization with primary practice located at 1 Brickyard Ln Unit D, York ME 03909-1604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Shipman Pediatrics, Llc can be contacted via phone (207) 497-2996, or through Shipman, Russell via phone (207) 497-2996.

Contact Information

Primary practice address
1 Brickyard Ln Unit D York ME 03909-1604
Fax: (207) 497-3467
Website:
Authorized official contact:
Name: Shipman, Russell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1575 Maine

Profile Details

NPI number 1790807139
LBN Legal business name Shipman Pediatrics, Llc
DBA Doing business as
Authorized official Shipman, Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2007
Last updated Jun 27th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790807139 NPPES
Maine Other 5924615 AETNA
Maine Other 047343 AETNA
Maine MEDICAID 408230000 AETNA
Maine Other G34607 AETNA
Maine Other M121911C AETNA
Maine Other 2824368 AETNA
Maine Other M221430 AETNA
Maine MEDICAID 30233307 AETNA
Maine Other 7496508 AETNA

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