National Provider Identifier Database

WATERBORO VILLAGE PEDIATRICS LLC PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

WATERBORO VILLAGE PEDIATRICS LLC PA
43 SOKOKIS TRAIL
EAST WATERBORO, ME04030
Phone: 207-247-6742
Fax: 207-247-6114
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for WATERBORO VILLAGE PEDIATRICS LLC PA

NPI Number 1225018740
Legal business name
LBN
WATERBORO VILLAGE PEDIATRICS LLC PA
Authorized official KEASHA MARESCOT - (CO OWNER PARTNER)
Entity Organization
Organization subpart No
Enumeration date 01/19/2006
Last updated 05/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ME Medicaid: 157150000
  • NH Medicaid: 30213870

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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