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Contact Information

ELLEN M ANDERSON, DPM
839 W MAIN ST
DOVER-FOXCROFT, ME04426-1334
 Phone: 207-564-2536
 Fax: 207-564-8581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ELLEN M ANDERSON · (Female)

NPI Number 1104928464
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/05/2006
Last updated 02/05/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # POD155
  • ME Medicaid 112960000
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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