Individual
JENNIFER A TRIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
86 DAVIS RD, BANGOR, ME 04401-2311
(207) 992-2205
(207) 990-1248
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1915
ME
207Q00000X
Family Medicine Physician
1915
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432026899
—
ME
Enumeration date
10/02/2006
Last updated
11/08/2011
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