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NPI Code Detail

MEDICARE: SARAH BETH SHUBERT MD

MEDICARE: SARAH BETH SHUBERT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician018045ME
2207X00000XOrthopaedic Surgery PhysicianA90230CA
3207X00000XOrthopaedic Surgery PhysicianM3461TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20094NSOTHERTXBCBS

General Provider Information

NPI Number : 1487656724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BETH SHUBERT MD
Provider Business Mailing Address
First Line : C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
Second Line : PO BOX 7291
City : LEWISTON
State : ME
Zip : 04243-7291
Country : US
Telephone Number : 207-777-8950
Fax Number : 207-777-8800
Provider Business Practice Location Address
First Line : 117 AUBURN ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-6003
Country : US
Telephone Number : 207-797-4791
Fax Number : 207-317-5390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 01/22/2021

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Directions to “ SARAH BETH SHUBERT MD” Practice Location

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