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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