Philip Perkins II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Medway, ME
NPI 1992964290 · NPPES record last updated Jun 3, 2008
Key facts
- NPI
- 1992964290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- ME428234 (ME)
- Practice address
- 1970 Medway Rd
Medway, ME 04460-3166 - Phone
- (207) 746-5800
- Fax
- (207) 746-5811
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| ME428234 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ME428234 | ME | Yes |
Addresses
Primary practice location
1970 Medway Rd
Medway, ME 04460-3166
Mailing address
1970 Medway Rd
Medway, ME 04460-3166
Phone (207) 746-5800
Other providers in Medway, ME
- Rachel Boutaugh
- Cynthia Cram
- Denise M Gardner
- Health Access Network Inc
- Kathryn Ann Klein
- Town of Medway
All providers in Medway, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2008. 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.