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Contact Information

MATTHEW P BUREAU, PA-C
70 LINCOLN STREET, MILL 6
BATES MILL DERMATOLOGY, PLLC
LEWISTON, ME04240
 Phone: 207-795-7540
 Fax: 207-795-7528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MATTHEW P BUREAU · (Male)

NPI Number 1225037211
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/20/2005
Last updated 02/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 103496
  • SC Medicaid 0219PA
  • NC Other 970030187 RAILROAD MEDICARE
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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