Active NPIIndividual provider

Nathan T Jean, DO

Family Medicine in Kittery, Maine

NPI Number1215164082
Practice location
22 Shapleigh RD, Kittery, ME 03904-1455
Fax
207-439-0968
Last updated
August 6, 2012

Nathan T. Jean is a Family Medicine based in Kittery, ME. Nathan T. Jean practices in Kittery, ME and has the professional credentials of DO. The NPI Number for Nathan T. Jean is 1215164082 and holds a License No. OT012903 (PA). The current practice location address for Nathan T. Jean is 22 Shapleigh RD, Kittery, ME 03904-1455 and can be reached out via phone at 207-439-4430 and via fax at 207-439-0968.

Provider Profile Details

NPI Number
1215164082
Provider Name
Nathan T. Jean
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
22 Shapleigh RD, Kittery, ME 03904-1455
Phone Number
207-439-4430
Fax Number
207-439-0968
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2009
Last Update Date
August 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Shapleigh RD
Kittery, ME 03904-1455
State
Maine
Zip
03904-1455
Phone Number
207-439-4430
Fax Number
207-439-0968
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
22 Shapleigh RD
Kittery, ME 03904-1455
City
Kittery
State
ME
Zip
03904-1455
Phone Number
207-439-4430
Fax Number
207-439-0968

License Information

License Number (1)
OT012903
License State (1)
PA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
2285
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Nathan T Jean, DO?

The NPI number of Nathan T Jean, DO is 1215164082. It was assigned on June 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Nathan T Jean, DO?

Nathan T Jean, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number OT012903.

Where does Nathan T Jean, DO practice?

The practice location is 22 Shapleigh RD, Kittery, ME 03904-1455. The office can be reached at 207-439-4430 (phone) or 207-439-0968 (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 1215164082 directly on the NPPES registry website.

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