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Contact Information

BANGOR INTEGRATIVE HEALTH
192 PARK ST
ORONO, ME04473-4602
 Phone: 207-866-9025
 Fax: 207-866-2207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for BANGOR INTEGRATIVE HEALTH

NPI Number 1659486884
LBN Legal business name BANGOR INTEGRATIVE HEALTH
Authorized official LEONA CERKOVITZ - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 06/22/2009 - About 17 years ago
Identifiers
ME License # 038985
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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