Healthcare Provider Details

I. General information

NPI: 1306068093
Provider Name (Legal Business Name): DAVID G HUTCHINS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 RIVER RD
CHELSEA ME
04330-1009
US

IV. Provider business mailing address

112 RIVER RD
CHELSEA ME
04330-1009
US

V. Phone/Fax

Practice location:
  • Phone: 207-622-2102
  • Fax: 207-622-2102
Mailing address:
  • Phone: 207-622-2102
  • Fax: 207-622-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number139
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: