Thibodeau, Omer

Thibodeau, Omer is an individual health care provider with primary practice located at 3 Medical Center Dr , Biddeford ME 04005-9422. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Thibodeau, Omer can be contacted via phone (207) 284-4597.

Contact Information

Primary practice address
3 Medical Center Dr Biddeford ME 04005-9422
Phone: (207) 284-4597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7706 Maine
Allopathic & Osteopathic Physicians / Surgery 208600000X 7706 Maine

Profile Details

NPI number 1699811406
LBN Legal business name Thibodeau, Omer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 27th, 2009 - 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 1699811406 NPPES
Maine Other 01 0398532 TRICARE
Maine MEDICAID 114440099 TRICARE
Maine Other B86995 TRICARE
Maine Other 01 0398532 TRICARE
Maine MEDICAID 30207619 TRICARE
Maine Other 1041542 TRICARE
Maine MEDICAID 114440000 TRICARE

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