Stockwell, Ira W.

Stockwell, Ira W. is an sole proprietor health care provider with primary practice located at 344 Cumberland St , Westbrook ME 04092-2408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Stockwell, Ira W. can be contacted via phone (207) 854-8200.

Contact Information

Primary practice address
344 Cumberland St Westbrook ME 04092-2408
Phone: (207) 854-8200
Fax: (207) 854-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 847 Maine
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X DO847 Maine

Profile Details

NPI number 1609812551
LBN Legal business name Stockwell, Ira W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Jun 13th, 2019 - about 6 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 1609812551 NPPES
Maine MEDICAID 199930099

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