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DWIGHT S BLEASE NPI 1255572111


NPI Information

NPI: 1255572111
Provider Name: DWIGHT S BLEASE

Doing Business As: CASCO BAY PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10 CUSHING ST
BRUNSWICK, ME
ZIP 04011
Phone: (207) 725-2800
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DWIGHT S BLEASE is a foot and ankle surgery podiatrist in Brunswick, ME. DWIGHT S BLEASE NPI is 1255572111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Casco Bay Podiatry.

The provider's business location address is:

10 CUSHING ST
BRUNSWICK, ME
ZIP 04011-801
Phone: (207) 725-2800
Fax: (207) 725-5953

The provider's authorized official is Dwight S. Blease .
The authorized official title is Owner and has the following contact phone number (207) 725-2800.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 6/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD204MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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