Wilkinson, Jared T

Wilkinson, Jared T is an sole proprietor health care provider with primary practice located at 81 Medical Center Dr Suite 2100, Brunswick ME 04011-2690. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wilkinson, Jared T can be contacted via phone (207) 725-4008.

Contact Information

Primary practice address
81 Medical Center Dr Suite 2100 Brunswick ME 04011-2690
Phone: (207) 725-4008
Fax: (207) 725-5749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD 1060 Maine

Profile Details

NPI number 1699974097
LBN Legal business name Wilkinson, Jared T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Feb 10th, 2014 - about 10 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 1699974097 NPPES
Maine MEDICAID 435660599

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