Individual provider Active NPI

Gilbert A Poliquin, BC-HIS

  • Hearing Instrument Specialist
  • Lewiston, ME
National Provider Identifier
1346485240
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
DL43 Issued in ME
Practice address
50 Lisbon St
Lewiston, ME 04240-7116
Phone
(207) 784-0333
Fax
(207) 784-9346
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X DL43 ME Primary
Optician 156FX1800X N/A ME

Addresses

Primary practice location

50 Lisbon St
Lewiston, ME 04240-7116

Mailing address

PO Box 290
50 Lisbon Street
Lewiston, ME 04243-0290
Phone (207) 784-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
N/AMEMDOptician
DL43MEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gil Poliquin Hearing Aid & Optical Center, Inc. Optician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1346485240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "address_2": "50 LISBON STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042430290",
            "telephone_number": "207-784-0333",
            "fax_number": "207-784-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407116",
            "telephone_number": "207-784-0333",
            "fax_number": "207-784-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIQUIN",
        "first_name": "GILBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "DL43",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "ME",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.