Smith, Christine Blake

Smith, Christine Blake is an individual health care provider with primary practice located at 114 Stroudwater St , Westbrook ME 04092-4037. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Smith, Christine Blake can be contacted via phone (207) 856-6792.

Contact Information

Primary practice address
114 Stroudwater St Westbrook ME 04092-4037
Phone: (207) 856-6792
Fax: (207) 854-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DO2350 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO2350 Maine
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X DO2350 Maine

Profile Details

NPI number 1760531180
LBN Legal business name Smith, Christine Blake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 14th, 2023 - about 2 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 1760531180 NPPES
Maine MEDICAID 409080099

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