MAINE ARTIFICIAL LIMB ORTHOTICS, Prosthetist PORTLAND, ME

Contact Information

MAINE ARTIFICIAL LIMB & ORTHOTICS

959 BRIGHTON AVE
PORTLAND, ME 04102-1020

Phone: 207-773-4963
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetist	224P00000X	56	Individual Certified Prosthetist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Orthotist	222Z00000X	55	Individual Certified Orthotist

Indicates primary specialty

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NPI Profile & details for MAINE ARTIFICIAL LIMB ORTHOTICS · (Female)

NPI #	`1306875208`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/02/2006
Last updated	05/21/2009 - About 17 years ago
Sole proprietor ¹	Not specified
Identifiers	ME Medicaid 106660000
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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