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Contact Information

TODD D OBRIEN, DPM
242 BRUNSWICK ST
OLD TOWN, ME04468-1613
 Phone: 207-827-6128
 Fax: 207-827-6605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TODD D OBRIEN · (Male)

NPI # 1366401291
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/20/2006
Last updated 05/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ME License # POD1016
  • ME Medicaid 154750099
  • ME Other 030284 ANTHEM
  • ME Other 480034965 MEDICARE PTAN
  • ME Other 201839 NGS
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
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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