Active NPIIndividual provider

Ethan S Caron, PAC

Physician Assistant in Bangor, Maine

NPI Number1932763331
Practice location
992 Union St, Bangor, ME 04401-3057
Fax
207-947-0435
Last updated
September 17, 2024

Ethan S Caron is a Physician Assistant based in Bangor, ME. Ethan S Caron practices in Bangor, ME and has the professional credentials of PAC. The NPI Number for Ethan S Caron is 1932763331 and holds a License No. PA2097 (ME). The current practice location address for Ethan S Caron is 992 Union St, Bangor, ME 04401-3057 and can be reached out via phone at 207-404-8100 and via fax at 207-947-0435.

Provider Profile Details

NPI Number
1932763331
Provider Name
Ethan S Caron
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
992 Union St, Bangor, ME 04401-3057
Phone Number
207-404-8100
Fax Number
207-947-0435
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2019
Last Update Date
September 17, 2024
Certification Date
September 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
992 Union St
Bangor, ME 04401-3057
City
Bangor
State
Maine
Zip
04401-3057
Phone Number
207-404-8100
Fax Number
207-947-0435
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-404-8200
Fax Number
207-947-0435

License Information

License Number (1)
PA2097
License State (1)
ME
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
OA006966
License State (2)
PA
Taxonomy (2)
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 Ethan S Caron, PAC?

The NPI number of Ethan S Caron, PAC is 1932763331. It was assigned on May 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Ethan S Caron, PAC?

Ethan S Caron, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2097.

Where does Ethan S Caron, PAC practice?

The practice location is 992 Union St, Bangor, ME 04401-3057. The office can be reached at 207-404-8100 (phone) or 207-947-0435 (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 1932763331 directly on the NPPES registry website.

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