Tuddenham, Ann Davina
Tuddenham, Ann Davina is an individual health care provider with primary practice located at 12 Shuman Ave , Augusta ME 04330-6020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tuddenham, Ann Davina can be contacted via phone (855) 239-3556.Contact Information
Primary practice address
12 Shuman Ave
Augusta ME 04330-6020
Phone: (855) 239-3556
Fax: (207) 502-1138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 014495 | Maine |
Profile Details
| NPI number | 1679669931 |
|---|---|
| LBN Legal business name | Tuddenham, Ann Davina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Apr 26th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679669931 | NPPES |
| Maine | MEDICAID | 26888099 |
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