1013161066 NPI number — MR. MILES MACGUFFIN BROOKES PMH-NP

Table of content: MR. MILES MACGUFFIN BROOKES PMH-NP (NPI 1013161066)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013161066 NPI number — MR. MILES MACGUFFIN BROOKES PMH-NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROOKES
Provider First Name:
MILES
Provider Middle Name:
MACGUFFIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PMH-NP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013161066
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
67 EUSTIS PARKWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERVILLE
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04901-5173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-873-2136
Provider Business Mailing Address Fax Number:
207-872-4522

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
180 CHURCH HILL RD STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEEDS
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04263-3418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-524-3501
Provider Business Practice Location Address Fax Number:
207-524-2093
Provider Enumeration Date:
11/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  AP081965 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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