Thanhauser, David A

Thanhauser, David A is an individual health care provider with primary practice located at 75 Northport Ave , Belfast ME 04915-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thanhauser, David A can be contacted via phone (207) 338-3995.

Contact Information

Primary practice address
75 Northport Ave Belfast ME 04915-6000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 008077 Maine

Profile Details

NPI number 1407885817
LBN Legal business name Thanhauser, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 2nd, 2010 - about 14 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 1407885817 NPPES
Maine Other M75540 CIGNA
Maine MEDICAID 108540000 CIGNA
Maine Other 441081452 CIGNA
Maine Other 004528 CIGNA
Maine Other 1044415 CIGNA

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