Michael Dalton
Individual provider Active NPI Case Manager/Care Coordinator · West Gardiner, ME
NPI 1285089987 · NPPES record last updated May 1, 2016
Key facts
- NPI
- 1285089987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 76 Emery LN
West Gardiner, ME 04345-3420 - Phone
- (207) 504-0943
- NPI assigned
- May 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
76 Emery LN
West Gardiner, ME 04345-3420
Mailing address
76 Emery LN
West Gardiner, ME 04345-3420
Phone (207) 504-0943
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94400533A | Medicaid | ME |
Other providers in West Gardiner, ME
- Michael Dennis Aitken
- Anne M Bourque
- Counsel Me Maine
- Michelle Lynne Levesque
- Gracelyn Maguire
- Kelsie-Lynne Newton
- Tasha Lea Newton
- Rachel A Pierce
All providers in West Gardiner, ME · Case Manager/Care Coordinator in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.