Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 1133 | ME |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 1133DO | ME |
NPI | 1194758045 |
---|---|
Provider Name | Dr. Carl J. Schuler |
First Address | Windham, ME 04062-5282 |
Second Address | Windham, ME 04062-5282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001824 | ANTHEM (01) | ME |
1043186 | AETNA (01) | ME |
222480000 | (05) | ME |
D93051 | (02) | ME |
D93051 | HARVARD PILGRIM (01) | ME |