Healthcare Provider Details

I. General information

NPI: 1255669016
Provider Name (Legal Business Name): WILLIAM NORFLEET MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2009
Last Update Date: 12/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 YOUNGTOWN RD
LINCOLNVILLE ME
04849-5424
US

IV. Provider business mailing address

79 YOUNGTOWN RD
LINCOLNVILLE ME
04849-5424
US

V. Phone/Fax

Practice location:
  • Phone: 207-789-5145
  • Fax:
Mailing address:
  • Phone: 207-789-5145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number03-862524
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: