Wasserman, James C

Wasserman, James C is an individual health care provider with primary practice located at 1600B Congress St , Portland ME 04102-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wasserman, James C can be contacted via phone (207) 774-5222.

Contact Information

Primary practice address
1600B Congress St Portland ME 04102-2124
Phone: (207) 774-5222
Fax: (207) 761-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 013304 Maine

Profile Details

NPI number 1457352874
LBN Legal business name Wasserman, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 16th, 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 1457352874 NPPES
Maine MEDICAID 299940099

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