Active NPIIndividual provider

Zachary R Beaulieu

Student in an Organized Health Care Education/Training Program in Portland, Maine

NPI Number1114751633
Practice location
716 Stevens Ave, Portland, ME 04103-2693
Fax
—
Last updated
August 27, 2024

Zachary Robert Beaulieu is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Zachary Robert Beaulieu practices in Portland, ME. The NPI Number for Zachary Robert Beaulieu is 1114751633 and holds a License No. 088654-21 (NH). The current practice location address for Zachary Robert Beaulieu is 716 Stevens Ave, Portland, ME 04103-2693 and can be reached out via phone at 207-221-4516.

Provider Profile Details

NPI Number
1114751633
Provider Name
Zachary Robert Beaulieu
Provider Entity Type
Individual
Gender
Male
Address
716 Stevens Ave, Portland, ME 04103-2693
Phone Number
207-221-4516
Sole Proprietor
No
Provider Enumeration Date
August 27, 2024
Last Update Date
August 27, 2024
Certification Date
August 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
716 Stevens Ave
Portland, ME 04103-2693
State
Maine
Zip
04103-2693
Phone Number
207-221-4516
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
17 1/2 East St
Dover, NH 03820-3135
City
Dover
State
NH
Zip
03820-3135
Phone Number
860-306-3818

License Information

License Number
088654-21
License State
NH

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 Zachary R Beaulieu?

The NPI number of Zachary R Beaulieu is 1114751633. It was assigned on August 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Zachary R Beaulieu?

Zachary R Beaulieu is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NH under license number 088654-21.

Where does Zachary R Beaulieu practice?

The practice location is 716 Stevens Ave, Portland, ME 04103-2693. The office can be reached at 207-221-4516 (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 1114751633 directly on the NPPES registry website.

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