Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT208528 | PA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 125.075348 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD24719 | ME |
NPI | 1336521046 |
---|---|
Provider Name | Elizabeth Carroll Truelove |
First Address | Bangor, ME 04401-2652 |
Second Address | Bangor, ME 04401-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 22/09/2021 |