Thaller, John B

Thaller, John B is an individual health care provider with primary practice located at 15 Enterprise Dr Ste 100, Augusta ME 04330-7894. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Thaller, John B can be contacted via phone (207) 621-8700.

Contact Information

Primary practice address
15 Enterprise Dr Ste 100 Augusta ME 04330-7894
Phone: (207) 621-8700
Fax: (207) 621-8701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 017126 Maine
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD17126 Maine

Profile Details

NPI number 1922047505
LBN Legal business name Thaller, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 28th, 2015 - 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 1922047505 NPPES
Maine MEDICAID 432326199

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