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Contact Information

NORTHEAST PAIN MANAGEMENT, PC
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
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NORTHEAST PAIN MANAGEMENT PC · (Female)

NPI Number 1578579868
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2006
Last updated 03/12/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME Medicaid 432219900
Hospital affiliation(s) Not Available
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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