Fremont, Oliver T

Fremont, Oliver T is an individual health care provider with primary practice located at 887 Congress St Suite 320, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Fremont, Oliver T can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 320 Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224066 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD17844 Maine

Profile Details

NPI number 1730127036
LBN Legal business name Fremont, Oliver T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 12th, 2013 - about 13 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 1730127036 NPPES
New Hampshire MEDICAID 30207900
New Hampshire MEDICAID 433012199

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