Bancroft, John D.
Bancroft, John D. is an individual health care provider with primary practice located at 887 Congress St Suite 410B, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Bancroft, John D. can be contacted via phone (207) 523-3289.Contact Information
Primary practice address
887 Congress St Suite 410B
Portland ME 04102-3100
Phone: (207) 523-3289
Fax: (207) 761-8198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 014200 | Maine |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 014200 | Maine |
Profile Details
| NPI number | 1952339178 |
|---|---|
| LBN Legal business name | Bancroft, John D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 3rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952339178 | NPPES |
| Maine | MEDICAID | 330460099 | |
| Maine | MEDICAID | 30009613 |
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