Healthcare Provider Details

I. General information

NPI: 1528243730
Provider Name (Legal Business Name): JOSEPH JOHN CAIL RN REGISTERED NURSE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 NORTH SEARSPORT ROAD
FRANKFORT ME
04438
US

IV. Provider business mailing address

582 NORTH SEARSPORT ROAD
FRANKFORT ME
04438
US

V. Phone/Fax

Practice location:
  • Phone: 207-223-5336
  • Fax: 207-223-5336
Mailing address:
  • Phone: 207-223-5336
  • Fax: 207-223-5336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR043683
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR043683
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License NumberR043683
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: