John A Pelletier
Neuromusculoskeletal Medicine (NMM)
295 Forest Ave 2nd Floor
Portland
, Maine 04101-2018
John A Pelletier
Neuromusculoskeletal Medicine (NMM)
295 Forest Ave 2nd Floor
Portland
, Maine 04101-2018
(207) 772-7465
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- John A Pelletier
- 295 Forest Ave 2nd Floor
- Portland, ME
- Zip : 04101-2018
- Fax : (207) 772-7465
- Phone : (207) 772-7417
Second Address
- John A Pelletier
- 295 Forest Ave 2nd Floor
- Portland, ME
- Zip : 04101-2018
- Fax : (207) 772-7465
- Phone : (207) 772-7417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1483 | ME |
National Provider Identifier
| NPI | 1053397760 |
|---|---|
| Provider Name | John A Pelletier |
| First Address | Portland, ME 04101-2018 |
| Second Address | Portland, ME 04101-2018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2005 |
| Last Update Date | 18/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 208480099 | (05) | ME |
| G46421 | (02) | ME |
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.