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Contact Information

PATRICIA SMALL, DO
489 STATE STREET
KELLEY 6
BANGOR, ME04401
 Phone: 207-973-6605
 Fax: 207-973-6196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PATRICIA SMALL · (Female)

NPI Number 1295810463
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/26/2006
Last updated 10/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 1608
  • ME License # DO1608
  • ME Medicaid 240980099
Hospital affiliation(s)
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
  • MAINE GENERAL MEDICAL CENTER - (Acute Care)
    35 MEDICAL CENTER PARKWAY
    AUGUSTA, ME 04330
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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