Healthcare Provider Details

I. General information

NPI: 1386957298
Provider Name (Legal Business Name): CATHERINE E LOVE DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE E REID DVM

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BADGER RUN
WINDHAM ME
04062-5842
US

IV. Provider business mailing address

39 RUBY LN
PORTLAND ME
04103-3812
US

V. Phone/Fax

Practice location:
  • Phone: 207-892-8553
  • Fax:
Mailing address:
  • Phone: 516-713-8296
  • Fax: 212-908-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number5694-050
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number2715
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberPENDING
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: