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Individual
WALTER N HEARN
Active
Individual
WALTER N HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002421
ANTHEM BC/BS
ME
01
—
010378298
MACHIGONNE
ME
01
—
0518560
CIGNA
ME
01
—
080044502
RAILROAD MEDICARE
ME
01
—
142492
USHC
ME
01
—
295630099
PRIMECARE
ME
05
—
295630099
—
ME
01
—
DO3850
HARVARD PILGRIM
ME
Enumeration date
07/19/2006
Last updated
12/05/2013
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