Wahlig, John B

Wahlig, John B is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 490, Portland ME 04102-2780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wahlig, John B can be contacted via phone (207) 553-6054.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 490 Portland ME 04102-2780
Phone: (207) 553-6054
Fax: (207) 553-6076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD16536 Maine

Profile Details

NPI number 1790729051
LBN Legal business name Wahlig, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 12th, 2013 - 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 1790729051 NPPES
New Hampshire MEDICAID 30204407
New Hampshire MEDICAID 410600099

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