1760570006 NPI number — JOHN L. TOOTHAKER, DPM PA

Table of content: (NPI 1760570006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760570006 NPI number — JOHN L. TOOTHAKER, DPM PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN L. TOOTHAKER, DPM PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1760570006
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
168 GROVE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04953-3347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-368-5415
Provider Business Mailing Address Fax Number:
207-368-5415

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
168 GROVE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04953-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-368-5415
Provider Business Practice Location Address Fax Number:
207-368-5415
Provider Enumeration Date:
10/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TOOTHAKER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
207-368-5415

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , with the licence number:  POD141 , 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)