Individual
JOHN GORDON HALDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
174 S FREEPORT RD, SUITE 2-C, FREEPORT, ME 04032-6145
(207) 865-0004
(207) 865-3004
Mailing address
174 S FREEPORT RD, SUITE 2-C, FREEPORT, ME 04032-6145
(207) 865-0004
(207) 865-3004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098822
ANTHEM
ME
05
—
312660099
—
ME
01
—
3519267
CIGNA
ME
01
—
7938937
AETNA
ME
01
—
AA88121
HARVARD PILGRIM
ME
Enumeration date
08/10/2006
Last updated
03/03/2016
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