Dorociak, Jeffery Joseph

Dorociak, Jeffery Joseph is an individual health care provider with primary practice located at 46 Fairview Ave Ste 221 , Skowhegan ME 04976-1481. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Dorociak, Jeffery Joseph can be contacted via phone (207) 474-6945.

Contact Information

Primary practice address
46 Fairview Ave Ste 221 Skowhegan ME 04976-1481
Phone: (207) 474-6945
Fax: (207) 474-6933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14495 South Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 294166 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.141191 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD22232 Maine

Profile Details

NPI number 1407805328
LBN Legal business name Dorociak, Jeffery Joseph
Credentials M.D. PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 1st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407805328 NPPES
Maine MEDICAID 1407805328
Maine MEDICAID 144953

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