Allan M Ingraham
Surgeon Vascular Surgeon
60 High St Cmhvi-Y1
Lewiston
, Maine 04240
Allan M Ingraham
Surgeon Vascular Surgeon
60 High St Cmhvi-Y1
Lewiston
, Maine 04240
(207) 784-4722
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Allan M Ingraham
- 124 Shepley St
- Auburn, ME
- Zip : 04210
- Phone : (207) 784-4722
Second Address
- Allan M Ingraham
- 60 High St Cmhvi-Y1
- Lewiston, ME
- Zip : 04240
- Fax : (207) 795-8281
- Phone : (207) 795-8260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 9007 | ME |
| N | 208600000X | Surgeon | 9007 | ME |
| Y | 2086S0129X | Vascular Surgeon | 9007 | ME |
National Provider Identifier
| NPI | 1043298037 |
|---|---|
| Provider Name | Allan M Ingraham |
| First Address | Auburn, ME 04210 |
| Second Address | Lewiston, ME 04240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2006 |
| Last Update Date | 02/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110030000 | (05) | ME |
| B86809 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.