Active NPIIndividual provider

Dr. Luke W Ballenger III, MD

Psychiatry & Neurology, Psychiatry in Lewiston, Maine

NPI Number1093744237
Practice location
100 Campus Ave, Suite 208, Lewiston, ME 04240-6040
Fax
207-777-8946
Last updated
February 16, 2010

Luke W Ballenger is a Psychiatry & Neurology, Psychiatry based in Lewiston, ME. Luke W Ballenger practices in Lewiston, ME and has the professional credentials of MD. The NPI Number for Luke W Ballenger is 1093744237 and holds a License No. 014003 (ME). The current practice location address for Luke W Ballenger is 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 and can be reached out via phone at 207-777-8974 and via fax at 207-777-8946.

Provider Profile Details

NPI Number
1093744237
Provider Name
Luke W Ballenger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Campus Ave, Suite 208, Lewiston, ME 04240-6040
Phone Number
207-777-8974
Fax Number
207-777-8946
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2006
Last Update Date
February 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Campus Ave
Suite 208
Lewiston, ME 04240-6040
State
Maine
Zip
04240-6040
Phone Number
207-777-8974
Fax Number
207-777-8946
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
Po Box 4140
Boston, MA 02241
City
Boston
State
MA
Zip
02241
Phone Number
207-777-4111
Fax Number
207-783-6660

License Information

License Number
014003
License State
ME
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Dr. Luke W Ballenger III, MD?

The NPI number of Dr. Luke W Ballenger III, MD is 1093744237. It was assigned on July 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Luke W Ballenger III, MD?

Dr. Luke W Ballenger III, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in ME under license number 014003.

Where does Dr. Luke W Ballenger III, MD practice?

The practice location is 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040. The office can be reached at 207-777-8974 (phone) or 207-777-8946 (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 1093744237 directly on the NPPES registry website.

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