Guy A Defeo, DO

Individual provider Active NPI Neuromusculoskeletal Medicine & OMM Physician · Alfred, ME

NPI 1528097623 · NPPES record last updated Sep 22, 2008

Key facts

NPI
1528097623
Entity type
Individual (NPI type 1)
Primary specialty
Neuromusculoskeletal Medicine & OMM Physician 204D00000X
License
1313 (ME)
Practice address
170 Federal St
Alfred, ME 04002-3130
Phone
(207) 324-6197
Fax
(207) 467-8827
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Shill MD Past Accepting new patients
University of New England Neuromusculoskeletal Medicine & Omm Past Accepting new patients
Jonathan Shill MD PH.D, LLC Past
since Sep 16, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1313 ME Yes

Addresses

Primary practice location

170 Federal St
Alfred, ME 04002-3130

Mailing address

170 Federal St
Alfred, ME 04002-3130
Phone (207) 324-6197

Other providers in Alfred, ME

All providers in Alfred, ME · Neuromusculoskeletal Medicine & OMM Physician in Maine

Sources for this page

Verify at the official NPI Registry.