Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD21014 | ME |
NPI | 1114215043 |
---|---|
Provider Name | Dr. Jason Alan Helis |
First Address | Portland, ME 04103-1073 |
Second Address | Scarborough, ME 04074-8926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 27/04/2017 |