Emerson, Fred E

Emerson, Fred E is an individual health care provider with primary practice located at 584 Roosevelt Trail , Windham ME 04062-4904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Emerson, Fred E can be contacted via phone (207) 892-3233.

Contact Information

Primary practice address
584 Roosevelt Trail Windham ME 04062-4904
Phone: (207) 892-3233
Fax: (207) 893-0752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD18052 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD18052 Maine

Profile Details

NPI number 1487722278
LBN Legal business name Emerson, Fred E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 26th, 2012 - about 14 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 1487722278 NPPES
New Hampshire MEDICAID 30208517
New Hampshire MEDICAID 433831099

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