Thees, Matthew A

Thees, Matthew A is an individual health care provider with primary practice located at 15 Lowell St , Portland ME 04102-2748. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thees, Matthew A can be contacted via phone (207) 774-8277.

Contact Information

Primary practice address
15 Lowell St Portland ME 04102-2748
Fax: (207) 699-5850
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT842 Maine

Profile Details

NPI number 1376549451
LBN Legal business name Thees, Matthew A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 12th, 2023 - about last year

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 1376549451 NPPES
Maine MEDICAID 319800099

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