Shattuck, Thaddeus T

Shattuck, Thaddeus T is an individual health care provider with primary practice located at 330 Sabattus St Ste A , Lewiston ME 04240-5553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shattuck, Thaddeus T can be contacted via phone (207) 777-8959.

Contact Information

Primary practice address
330 Sabattus St Ste A Lewiston ME 04240-5553
Phone: (207) 777-8959
Fax: (207) 753-3093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X MD18527 Maine
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 018527 Maine

Profile Details

NPI number 1285798447
LBN Legal business name Shattuck, Thaddeus T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Mar 27th, 2024 - about 2 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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