- Practice location
- 222 Saint John St Ste 322, Portland, ME 04102-3059
- Phone
- 207-560-3422
- Fax
- —
- Last updated
- January 26, 2022
Jacob Emerson Crothers is a Preventive Medicine, Addiction Medicine based in Portland, ME. Jacob Emerson Crothers practices in Portland, ME and has the professional credentials of MD. The NPI Number for Jacob Emerson Crothers is 1336433085 and holds a License No. 052724 (CT). The current practice location address for Jacob Emerson Crothers is 222 Saint John St Ste 322, Portland, ME 04102-3059 and can be reached out via phone at 207-560-3422.
Provider Profile Details
- NPI Number
- 1336433085
- Provider Name
- Jacob Emerson Crothers
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 222 Saint John St Ste 322, Portland, ME 04102-3059
- Phone Number
- 207-560-3422
- Primary Taxonomy
- Preventive Medicine, Addiction Medicine · 2083A0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2011
- Last Update Date
- January 26, 2022
- Certification Date
- January 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Saint John St Ste 322
Portland, ME 04102-3059 - City
- Portland
- State
- Maine
- Zip
- 04102-3059
- Phone Number
- 207-560-3422
Provider Business Mailing Address Details
- Address
- 222 Saint John St Ste 322
Portland, ME 04102-3059 - City
- Portland
- State
- ME
- Zip
- 04102-3059
- Phone Number
- 207-560-3422
License Information
- License Number (1)
- 052724
- License State (1)
- CT
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 052724
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (3)
- MD20886
- License State (3)
- ME
- Taxonomy (3)
- Preventive Medicine, Addiction Medicine · 2083A0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jacob E Crothers, MD?
The NPI number of Dr. Jacob E Crothers, MD is 1336433085. It was assigned on May 30, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob E Crothers, MD?
Dr. Jacob E Crothers, MD is registered under the primary taxonomy Preventive Medicine, Addiction Medicine (code 2083A0300X), licensed in CT under license number 052724.
Where does Dr. Jacob E Crothers, MD practice?
The practice location is 222 Saint John St Ste 322, Portland, ME 04102-3059. The office can be reached at 207-560-3422 (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 1336433085 directly on the NPPES registry website.