Tardif, Raymond

Tardif, Raymond is an individual health care provider with primary practice located at 190 Stetson Rd , Auburn ME 04210-7813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tardif, Raymond can be contacted via phone (207) 784-7388.

Contact Information

Primary practice address
190 Stetson Rd Auburn ME 04210-7813
Fax: (207) 795-2043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 014503 Maine

Profile Details

NPI number 1437146446
LBN Legal business name Tardif, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 7th, 2010 - about 16 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 1437146446 NPPES
Maine MEDICAID 259940099

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