Wyman, Peggy
Wyman, Peggy is an individual health care provider with primary practice located at 12 High St Ste 302, Lewiston ME 04240-7634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wyman, Peggy can be contacted via phone (207) 795-5750.Contact Information
Primary practice address
12 High St Ste 302
Lewiston ME 04240-7634
Phone: (207) 795-5750
Fax: (207) 795-5649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 015145 | Maine |
Profile Details
| NPI number | 1073592283 |
|---|---|
| LBN Legal business name | Wyman, Peggy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Oct 7th, 2010 - about 15 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 | 1073592283 | NPPES |
| Maine | MEDICAID | 248310099 |
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