Wallstrom, David

Wallstrom, David is an individual health care provider with primary practice located at 22 Station Ave , Brunswick ME 04011-2092. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wallstrom, David can be contacted via phone (207) 406-7500.

Contact Information

Primary practice address
22 Station Ave Brunswick ME 04011-2092
Phone: (207) 406-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2300 Maine

Profile Details

NPI number 1427589670
LBN Legal business name Wallstrom, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated May 19th, 2023 - about 3 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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