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Contact Information

JOHN TIVNAN, DO
1365 BROADWAY
BANGOR, ME04401-2401
 Phone: 207-942-6226
 Fax: 207-992-2756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JOHN TIVNAN · (Male)

NPI Number 1518315142
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/24/2016
Last updated 01/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # DO3257
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
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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