Active NPIIndividual provider

Matthew P Bureau, PA-C

Physician Assistant in Lewiston, Maine

NPI Number1225037211
Practice location
70 Lincoln Street, Mill 6, Bates Mill Dermatology, PLLC, Lewiston, ME 04240
Fax
207-795-7528
Last updated
February 4, 2014

Matthew P Bureau is a Physician Assistant based in Lewiston, ME. Matthew P Bureau practices in Lewiston, ME and has the professional credentials of PA-C. The NPI Number for Matthew P Bureau is 1225037211 and holds a License No. 103496 (NC). The current practice location address for Matthew P Bureau is 70 Lincoln Street, Mill 6, Bates Mill Dermatology, PLLC, Lewiston, ME 04240 and can be reached out via phone at 207-795-7540 and via fax at 207-795-7528.

Provider Profile Details

NPI Number
1225037211
Provider Name
Matthew P Bureau
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
70 Lincoln Street, Mill 6, Bates Mill Dermatology, PLLC, Lewiston, ME 04240
Phone Number
207-795-7540
Fax Number
207-795-7528
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2005
Last Update Date
February 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Lincoln Street, Mill 6
Bates Mill Dermatology, PLLC
Lewiston, ME 04240
State
Maine
Zip
04240
Phone Number
207-795-7540
Fax Number
207-795-7528
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
70 Lincoln Street, Mill 6
Bates Mill Dermatology, PLLC
Lewiston, ME 04240
City
Lewiston
State
ME
Zip
04240
Phone Number
207-795-7540
Fax Number
207-795-7528

License Information

License Number
103496
License State
NC
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 Matthew P Bureau, PA-C?

The NPI number of Matthew P Bureau, PA-C is 1225037211. It was assigned on July 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Matthew P Bureau, PA-C?

Matthew P Bureau, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 103496.

Where does Matthew P Bureau, PA-C practice?

The practice location is 70 Lincoln Street, Mill 6, Bates Mill Dermatology, PLLC, Lewiston, ME 04240. The office can be reached at 207-795-7540 (phone) or 207-795-7528 (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 1225037211 directly on the NPPES registry website.

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