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Dr. Jacob Emerson Crothers, MD
Addiction Medicine (Preventive Medicine) Physician in Portland, Maine
NPI 1336433085

Jacob Emerson Crothers is an Addiction Medicine (Preventive Medicine) Physician based in Portland, ME and is specialized in Addiction Medicine. 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 (Maine).

The current practice location address for Jacob Emerson Crothers is 222 Saint John St Ste 322, Portland, ME and can be reached out via phone at 207-560-3422.

Location: 222 Saint John St Ste 322, Portland, ME, 04102-3059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
05/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D400163444 01 CT MEDICARE FOR CROTHERS
008052299 01 CT MEDICAID FOR CROTHERS
institution
Provider Business Practice Location Address Details
Address
222 Saint John St Ste 322
City
Portland
State
Maine
Zip
04102-3059
Phone Number
207-560-3422
Fax Number
person
Provider Business Mailing Address Details
Address
222 Saint John St Ste 322
City
Portland
State
Maine
Zip
04102-3059
Phone Number
207-560-3422
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD20886 (Maine)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
052724 (Connecticut)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
052724 (Connecticut)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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