Active NPIIndividual provider

Michaela Despins, ATC, LAT

Preventive Medicine, Sports Medicine in Auburn, Maine

NPI Number1205497781
Practice location
30 Belgrade Ave Ste A, Auburn, ME 04210-4096
Fax
207-783-0019
Last updated
June 25, 2019

Michaela Despins is a Preventive Medicine, Sports Medicine based in Auburn, ME. Michaela Despins practices in Auburn, ME and has the professional credentials of ATC, LAT. The NPI Number for Michaela Despins is 1205497781 and holds a License No. AT741 (ME). The current practice location address for Michaela Despins is 30 Belgrade Ave Ste A, Auburn, ME 04210-4096 and can be reached out via phone at 207-783-0018 and via fax at 207-783-0019.

Provider Profile Details

NPI Number
1205497781
Provider Name
Michaela Despins
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
30 Belgrade Ave Ste A, Auburn, ME 04210-4096
Phone Number
207-783-0018
Fax Number
207-783-0019
Primary Taxonomy
Preventive Medicine, Sports Medicine · 2083S0010X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2019
Last Update Date
June 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Belgrade Ave Ste A
Auburn, ME 04210-4096
City
Auburn
State
Maine
Zip
04210-4096
Phone Number
207-783-0018
Fax Number
207-783-0019
Auburn, ME 04210Get directions →

Provider Business Mailing Address Details

Address
30 Belgrade Ave Ste A
Auburn, ME 04210-4096
City
Auburn
State
ME
Zip
04210-4096

License Information

License Number
AT741
License State
ME
Taxonomy
Preventive Medicine, Sports Medicine · 2083S0010X · 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 Michaela Despins, ATC, LAT?

The NPI number of Michaela Despins, ATC, LAT is 1205497781. It was assigned on June 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Michaela Despins, ATC, LAT?

Michaela Despins, ATC, LAT is registered under the primary taxonomy Preventive Medicine, Sports Medicine (code 2083S0010X), licensed in ME under license number AT741.

Where does Michaela Despins, ATC, LAT practice?

The practice location is 30 Belgrade Ave Ste A, Auburn, ME 04210-4096. The office can be reached at 207-783-0018 (phone) or 207-783-0019 (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 1205497781 directly on the NPPES registry website.

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