THE WEIGHT LOSS & DIABETES CENTER LLC NPI 1518401181

NPI Information

NPI: 1518401181
Provider Name: THE WEIGHT LOSS & DIABETES CENTER, LLC

Doing Business As: THE WEIGHT LOSS & DIABETES CENTER

Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
1600 CONGRESS ST
SUITE C
PORTLAND, ME
ZIP 04102
Phone: (207) 699-4225
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THE WEIGHT LOSS & DIABETES CENTER, LLC is an acute care nurse practitioner in Portland, ME. THE WEIGHT LOSS & DIABETES CENTER, LLC NPI is 1518401181. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Weight Loss & Diabetes Center.

The provider's business location address is:

1600 CONGRESS ST
SUITE C
PORTLAND, ME
ZIP 04102-143
Phone: (207) 699-4225

The provider's authorized official is Christopher John Mosunic .
The authorized official title is Owner and has the following contact phone number (207) 699-4225.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 2/28/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	PS1438	MAINE	No
2	363LA2100X	Nurse Practitioner	Acute Care	CNP141070	MAINE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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