Idenburg, Alexandra Maria Elizabeth

Idenburg, Alexandra Maria Elizabeth is an sole proprietor health care provider with primary practice located at 105 Main St , Pittsfield ME 04967-4364. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Idenburg, Alexandra Maria Elizabeth can be contacted via phone (207) 487-7292.

Contact Information

Primary practice address
105 Main St Pittsfield ME 04967-4364
Phone: (207) 487-7292
Fax: (207) 487-7156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD19326 Maine

Profile Details

NPI number 1992133102
LBN Legal business name Idenburg, Alexandra Maria Elizabeth
Credentials MD, MRCGP(UK)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2013
Last updated May 16th, 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 1992133102 NPPES
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1992133102 WELLCARE
Maine MEDICAID 1558862508 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1992133102 WELLCARE
Maine MEDICAID 1992133102 WELLCARE
Maine Other 1558862508 WELLCARE
Maine Other 1992133102 WELLCARE
Maine Other 1992133102 WELLCARE

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