Wildwood Medicine

LBN: Wildwood Medicine
Wildwood Medicine is an health care organization with primary practice located at 83 India St , Portland ME 04101-4210. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Wildwood Medicine can be contacted via phone (207) 347-7132, or through Katz, Daniel via phone (207) 347-7132.

Contact Information

Primary practice address
83 India St Portland ME 04101-4210
Phone: (207) 347-7132
Fax: (207) 839-2197
Website:
Map and Directions
Authorized official contact:
Name: Katz, Daniel PT NC
Phone: (207) 347-7132

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC281 Maine
Other Service Providers / Acupuncturist 171100000X AC308 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3116 Maine

Profile Details

NPI number 1063671121
LBN Legal business name Wildwood Medicine
DBA Doing business as
Authorized official Katz, Daniel PT NC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Sep 8th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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