Healthcare Provider Details

I. General information

NPI: 1952543456
Provider Name (Legal Business Name): JANICE P BIDDLE BC-HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HAIGAIS PKWY
SCARBOROUGH ME
04074-7602
US

IV. Provider business mailing address

9 HAIGAIS PKWY
SCARBOROUGH ME
04074-7602
US

V. Phone/Fax

Practice location:
  • Phone: 207-883-0240
  • Fax: 207-883-0323
Mailing address:
  • Phone: 207-883-0240
  • Fax: 207-883-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL285
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: