Jumper, Brian M

Jumper, Brian M is an individual health care provider with primary practice located at 100 Brickhill Avenue , South Portland ME 04106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Jumper, Brian M can be contacted via phone (207) 773-1728.

Contact Information

Primary practice address
100 Brickhill Avenue South Portland ME 04106
Phone: (207) 773-1728
Fax: (207) 772-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 012533 Maine
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 012533 Maine

Profile Details

NPI number 1619923307
LBN Legal business name Jumper, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619923307 NPPES
Maine MEDICAID 246810099
Maine MEDICAID 30007670

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