Individual
MR. JAMES MICHAEL ST. JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
152 MAIN ST, JAY, ME 04239-1507
(207) 897-3102
(207) 897-4387
Mailing address
21 SCHOOLHOUSE HILL RD, LIVERMORE, ME 04253-3009
(207) 897-4134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1492
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-508758001
BLUE CROSS 3- DIGIT
ME
01
—
0118779
CIGNA
ME
01
—
030481
BLUE CROSS
ME
01
—
2233800
AETNA
ME
01
—
64-04205
UNITED HEALTHCARE
ME
01
—
M22455
HEALTHSOURCE
ME
01
—
MN2353
HARVARD PILGRIM
ME
Enumeration date
08/07/2006
Last updated
07/08/2007
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