Vaughan, Robert T

Vaughan, Robert T is an individual health care provider with primary practice located at 4 Shape Dr , Kennebunk ME 04043-6601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vaughan, Robert T can be contacted via phone (207) 467-8988.

Contact Information

Primary practice address
4 Shape Dr Kennebunk ME 04043-6601
Phone: (207) 467-8988
Fax: (207) 467-8969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 014111 Maine

Profile Details

NPI number 1063478030
LBN Legal business name Vaughan, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 31st, 2011 - 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 1063478030 NPPES
Maine Other 027406 ANTHEM
Maine Other 610006001 ANTHEM
Maine Other 2074076 ANTHEM
Maine Other D23880 ANTHEM
Maine MEDICAID 310110099 ANTHEM

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