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MR. SHANNON PAUL RECK HS IDMT NPI 1619015757


NPI Information

NPI: 1619015757
Provider Name: MR. SHANNON PAUL RECK, HS, IDMT
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
259 HIGH STREET
US COAST GUARD SECTOR NORTHERN NEW ENGLAND
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 767-0339
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MR. Shannon Paul Reck, HS, IDMT is a technician other in South Portland, ME. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Shannon Paul Reck, HS, IDMT NPI is 1619015757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

259 HIGH STREET
US COAST GUARD SECTOR NORTHERN NEW ENGLAND
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 767-0339

The enumeration date for this NPI number is 2/1/2007 and was last updated on 7/8/2007.


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
1247200000XTechnician, OtherYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.