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Organization
NICHOLAS S. VACHON, D.P.M., P.A.
Active
Organization
NICHOLAS S. VACHON, D.P.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS SCOTT VACHON DPM (DOCTOR OWNER)
(207) 667-2523
Entity
Organization
Contact information
Practice address
318 MAIN STREET, ELLSWORTH, ME 04605-0662
(207) 667-2523
(207) 667-7307
Mailing address
PO BOX 662, 318 MAIN STREET, ELLSWORTH, ME 04605-0662
(207) 667-2523
(207) 667-7307
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
198
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132930000
—
ME
01
—
4226990001
MEDICARE PTAN
ME
Enumeration date
04/01/2008
Last updated
06/23/2016
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