Active NPIIndividual provider

Crystal L Macclintock, RPA-C

Physician Assistant, Medical in Dover Foxcroft, Maine

NPI Number1700024783
Practice location
891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059
Fax
—
Last updated
December 23, 2020

Crystal Lee Macclintock is a Physician Assistant, Medical based in Dover Foxcroft, ME. Crystal Lee Macclintock practices in Dover Foxcroft, ME and has the professional credentials of RPA-C. The NPI Number for Crystal Lee Macclintock is 1700024783 and holds a License No. PA1455 (ME). The current practice location address for Crystal Lee Macclintock is 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 and can be reached out via phone at 207-564-4464.

Provider Profile Details

NPI Number
1700024783
Provider Name
Crystal Lee Macclintock
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059
Phone Number
207-564-4464
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 28, 2009
Last Update Date
December 23, 2020
Certification Date
December 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1059
State
Maine
Zip
04426-1059
Phone Number
207-564-4464
Dover Foxcroft, ME 04426Get directions →

Provider Business Mailing Address Details

Address
891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1059
City
Dover Foxcroft
State
ME
Zip
04426-1059
Phone Number
207-564-4464

License Information

License Number
PA1455
License State
ME
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Crystal L Macclintock, RPA-C?

The NPI number of Crystal L Macclintock, RPA-C is 1700024783. It was assigned on January 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Crystal L Macclintock, RPA-C?

Crystal L Macclintock, RPA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA1455.

Where does Crystal L Macclintock, RPA-C practice?

The practice location is 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059. The office can be reached at 207-564-4464 (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 1700024783 directly on the NPPES registry website.

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