Active NPIIndividual provider

Jesse R Cloutier, PA

Physician Assistant in Ellsworth, Maine

NPI Number1023466562
Practice location
50 Union St, Suite 2100, Ellsworth, ME 04605-1534
Fax
207-664-5777
Last updated
November 20, 2023

Jesse R Cloutier is a Physician Assistant based in Ellsworth, ME. Jesse R Cloutier practices in Ellsworth, ME and has the professional credentials of PA. The NPI Number for Jesse R Cloutier is 1023466562 and holds a License No. PA1602 (ME). The current practice location address for Jesse R Cloutier is 50 Union St, Suite 2100, Ellsworth, ME 04605-1534 and can be reached out via phone at 207-664-5770 and via fax at 207-664-5777.

Provider Profile Details

NPI Number
1023466562
Provider Name
Jesse R Cloutier
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
50 Union St, Suite 2100, Ellsworth, ME 04605-1534
Phone Number
207-664-5770
Fax Number
207-664-5777
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2016
Last Update Date
November 20, 2023
Certification Date
November 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Union St
Suite 2100
Ellsworth, ME 04605-1534
State
Maine
Zip
04605-1534
Phone Number
207-664-5770
Fax Number
207-664-5777
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
50 Union St
Suite 2100
Ellsworth, ME 04605-1534
City
Ellsworth
State
ME
Zip
04605-1534
Phone Number
207-664-5770
Fax Number
207-664-5777

License Information

License Number
PA1602
License State
ME
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jesse R Cloutier, PA?

The NPI number of Jesse R Cloutier, PA is 1023466562. It was assigned on May 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Jesse R Cloutier, PA?

Jesse R Cloutier, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1602.

Where does Jesse R Cloutier, PA practice?

The practice location is 50 Union St, Suite 2100, Ellsworth, ME 04605-1534. The office can be reached at 207-664-5770 (phone) or 207-664-5777 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023466562 directly on the NPPES registry website.

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