Mansfield, Carol J

Mansfield, Carol J is an individual health care provider with primary practice located at 149 Main St Ste 1A, Winthrop ME 04364-1462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mansfield, Carol J can be contacted via phone (207) 377-2114.

Contact Information

Primary practice address
149 Main St Ste 1A Winthrop ME 04364-1462
Fax: (207) 377-6112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 014349 Maine

Profile Details

NPI number 1831165422
LBN Legal business name Mansfield, Carol J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 16th, 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 1831165422 NPPES
Maine MEDICAID 231140099

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