Clifford E Pierce
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Casco, ME
NPI 1831464783 · NPPES record last updated Mar 11, 2012
Key facts
- NPI
- 1831464783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1080131 (ME)
- Practice address
- 23 Roosevelt TRL
Casco, ME 04015-4211 - Phone
- (207) 655-2000
- Fax
- (207) 655-2032
- NPI assigned
- Mar 11, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080131 | ME | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1080131 | ME | Yes |
Addresses
Primary practice location
23 Roosevelt TRL
Casco, ME 04015-4211
Mailing address
23 Roosevelt TRL
Casco, ME 04015-4211
Phone (207) 655-2000
Other providers in Casco, ME
- M.S.a.D. #61
- Deborah Mahoney
- Maine Surgical Assistants, PC
- Misty Marston
- Virginia Russell Mujica
- Karen Elizabeth Rendall
- Joanne Elizabeth Ridlon
- Carlene B Ross
- Lori Ann Shaw
- The Casco Inn Residential Care
All providers in Casco, ME · Durable Medical Equipment & Medical Supplies in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2012. 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.