Roediger, Frederick Clapp

Roediger, Frederick Clapp is an individual health care provider with primary practice located at 1250 Forest Ave Suite 301, Portland ME 04103-1897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Roediger, Frederick Clapp can be contacted via phone (207) 797-5753.

Contact Information

Primary practice address
1250 Forest Ave Suite 301 Portland ME 04103-1897
Phone: (207) 797-5753
Fax: (207) 797-9571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD18047 Maine

Profile Details

NPI number 1659409977
LBN Legal business name Roediger, Frederick Clapp
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Apr 3rd, 2012 - 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 1659409977 NPPES
Maine Other 30209197 NEW HAMPSHIRE MEDICAID
Maine Other P00759644 NEW HAMPSHIRE MEDICAID
Maine Other 1044199 NEW HAMPSHIRE MEDICAID
Maine Other AA146929 NEW HAMPSHIRE MEDICAID
Maine MEDICAID 433941099 NEW HAMPSHIRE MEDICAID

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