Dr. Jacob Emerson Crothers
Family Doctor Family Doctor - Addiction Medicine
222 Saint John St Ste 322
Portland
, Maine 04102-3059
Dr. Jacob Emerson Crothers
Family Doctor Family Doctor - Addiction Medicine
222 Saint John St Ste 322
Portland
, Maine 04102-3059
(207) 560-3422
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Jacob Emerson Crothers
- 222 Saint John St Ste 322
- Portland, ME
- Zip : 04102-3059
- Phone : (207) 560-3422
Second Address
- Dr. Jacob Emerson Crothers
- 222 Saint John St Ste 322
- Portland, ME
- Zip : 04102-3059
- Phone : (207) 560-3422
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 052724 | CT |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 052724 | CT |
National Provider Identifier
| NPI | 1336433085 |
|---|---|
| Provider Name | Dr. Jacob Emerson Crothers |
| First Address | Portland, ME 04102-3059 |
| Second Address | Portland, ME 04102-3059 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2011 |
| Last Update Date | 26/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008052299 | MEDICAID FOR CROTHERS (01) | CT |
| D400163444 | MEDICARE FOR CROTHERS (01) | CT |
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.