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Contact Information

BRENDA J BECKETT, P.A.-C
10 WAYMAN LN
BAR HARBOR, ME04609-1625
 Phone: 207-288-5081
 Fax: 207-288-7024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRENDA J BECKETT · (Female)

NPI Number 1134214018
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 10/04/2006
Last updated 03/07/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PA189
  • ME Medicaid 411230099
  • Other PA1208 ME - LICENSE
Hospital affiliation(s)
  • MOUNT DESERT ISLAND HOSPITAL - (Critical Access)
    10 WAYMAN LANE, PO BOX 8
    BAR HARBOR, ME 04609
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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