Healthcare Provider Details

I. General information

NPI: 1770447005
Provider Name (Legal Business Name): MATTHEW NORCROSS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 ROOSEVELT TRL
WINDHAM ME
04062-5341
US

IV. Provider business mailing address

44 LITTLE FALLS BRIDGE RD
ROCHESTER NH
03867-4307
US

V. Phone/Fax

Practice location:
  • Phone: 207-346-4996
  • Fax:
Mailing address:
  • Phone: 603-923-8823
  • Fax: 603-923-8823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL510
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: