Healthcare Provider Details

I. General information

NPI: 1902871338
Provider Name (Legal Business Name): MEDICAL ARTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HARTFORD ST
HOULTON ME
04730-1844
US

IV. Provider business mailing address

22 HARTFORD ST
HOULTON ME
04730-1844
US

V. Phone/Fax

Practice location:
  • Phone: 207-532-7936
  • Fax: 207-532-7937
Mailing address:
  • Phone: 207-532-7936
  • Fax: 207-532-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE P DEMAERE
Title or Position: PRACTICE ANALYST
Credential: CMA
Phone: 207-532-2900