National Provider Identifier Database

SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION PLLC
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC
335 BRIGHTON AVE
PORTLAND, ME04102-2362
Phone: 207-775-4000
Fax:
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC

NPI Number 1487691879
Legal business name
LBN
SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC
Authorized official ELWOOD FOX - (PRESIDENT/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 06/02/2006
Last updated 07/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 1709

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.

Reviews for SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC

There are currently no reviews for SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC


NPIdb - Home
v2.201