Maine Functional Medicine

LBN: Maine Functional Medicine
Maine Functional Medicine is an health care organization with primary practice located at 33 Penn Plz Ste A , Bangor ME 04401-3619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Maine Functional Medicine can be contacted via phone (207) 941-0080, or through Drake, Kelly via phone (207) 941-0080.

Contact Information

Primary practice address
33 Penn Plz Ste A Bangor ME 04401-3619
Phone: (207) 941-0080
Fax: (207) 941-0093
Website:
Map and Directions
Authorized official contact:
Name: Drake, Kelly
Phone: (207) 941-0080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1427512904
LBN Legal business name Maine Functional Medicine
DBA Doing business as
Authorized official Drake, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427512904 NPPES
Maine Other 1053336206 NPI

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