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Contact Information

JAN R WHITWORTH, PAC
32 RAILROAD ST
BETHEL, ME04217
 Phone: 207-824-2193
 Fax: 207-824-0012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAN R WHITWORTH · (Female)

NPI # 1447214234
Status Active
Credentials PAC
Entity Individual
Enumeration date 04/17/2006
Last updated 03/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA054
  • ME Medicaid 307160099
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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