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Contact Information

DWIGHT S BLEASE, DPM
10 CUSHING ST
BRUNSWICK, ME04011-1801
 Phone: 207-725-2800
 Fax: 207-725-5953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DWIGHT S BLEASE · (Male)

NPI Number 1659465011
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/02/2006
Last updated 09/06/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # ME POD 204
  • ME Other 000942 ANTHEM
  • ME Other T31402 HARVARD
  • ME Other 010446440 TAX ID #
Hospital affiliation(s)
  • MID COAST HOSPITAL - (Acute Care)
    123 MEDICAL CENTER DRIVE
    BRUNSWICK, ME 04011
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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