Wotkowicz, Chad
Wotkowicz, Chad is an individual health care provider with primary practice located at 81 Medical Center Dr , Brunswick ME 04011-2764. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Wotkowicz, Chad can be contacted via phone (207) 373-6690.Contact Information
Primary practice address
81 Medical Center Dr
Brunswick ME 04011-2764
Phone: (207) 373-6690
Fax: (603) 373-6695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14482 | New Hampshire |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 224790 | Massachusetts |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 14482 | New Hampshire |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD19913 | Maine |
Profile Details
| NPI number | 1003884578 |
|---|---|
| LBN Legal business name | Wotkowicz, Chad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | May 2nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003884578 | NPPES |
| New Hampshire | MEDICAID | 30209883 | |
| New Hampshire | MEDICAID | 2111021 |
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