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Organization
ATLANTIC PROSTHETIC AND ORTHOTIC SERVICES
Active
Organization
ATLANTIC PROSTHETIC AND ORTHOTIC SERVICES
Active
Other names
AtlanticProCare
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(207) 774-1002
Entity
Organization
Contact information
Practice address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Mailing address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
CPO 1271
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007654
BLUE CROSS & BLUE SHIELD
ME
05
—
125820000
—
ME
Enumeration date
01/26/2007
Last updated
09/17/2026
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