Talley, Ruth E

Talley, Ruth E is an individual health care provider with primary practice located at 417 State St Ste 400, Bangor ME 04401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Talley, Ruth E can be contacted via phone (207) 942-6096.

Contact Information

Primary practice address
417 State St Ste 400 Bangor ME 04401
Phone: (207) 942-6096
Fax: (207) 973-8857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 015673 Maine

Profile Details

NPI number 1417925645
LBN Legal business name Talley, Ruth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 25th, 2014 - about 11 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 1417925645 NPPES
Maine Other 061678 BLUE CROSS
Maine MEDICAID 4320121799 BLUE CROSS

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