Organization
JONATHAN SHILL MD
Active
Parent organization
JONATHAN SHILL MD PHD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JONATHAN SHILL MD PHD LLC
Authorized official
JONATHAN SHILL MD (OWNER/PROVIDER)
(207) 502-7074
Entity
Organization
Contact information
Practice address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Mailing address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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