Healthcare Provider Details

I. General information

NPI: 1679774095
Provider Name (Legal Business Name): DONALD G. BRUSHETT, M.D. AND JANET M. PARKER, M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 BANGOR ST SUITE 3
HOULTON ME
04730-1740
US

IV. Provider business mailing address

59 BANGOR ST SUITE 3
HOULTON ME
04730-1740
US

V. Phone/Fax

Practice location:
  • Phone: 207-532-7161
  • Fax: 207-532-1090
Mailing address:
  • Phone: 207-532-7161
  • Fax: 207-532-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number009207
License Number StateME

VIII. Authorized Official

Name: CAROLYN M CHAPMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 207-532-7161