Active NPIIndividual provider

Eric A Beaver, PA-C

Physician Assistant in Portland, Maine

NPI Number1023479136
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
—
Last updated
April 25, 2017

Eric A Beaver is a Physician Assistant based in Portland, ME. Eric A Beaver practices in Portland, ME and has the professional credentials of PA-C. The NPI Number for Eric A Beaver is 1023479136 and holds a License No. PA1598 (ME). The current practice location address for Eric A Beaver is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2934.

Provider Profile Details

NPI Number
1023479136
Provider Name
Eric A Beaver
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-662-2934
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2016
Last Update Date
April 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-662-2934
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
190 Riverside St
Suite 6B
Portland, ME 04103-1073
City
Portland
State
ME
Zip
04103-1073
Phone Number
207-661-2000

License Information

License Number
PA1598
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 Eric A Beaver, PA-C?

The NPI number of Eric A Beaver, PA-C is 1023479136. It was assigned on March 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Eric A Beaver, PA-C?

Eric A Beaver, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1598.

Where does Eric A Beaver, PA-C practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2934 (phone).

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 1023479136 directly on the NPPES registry website.

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