Individual
SEAN ANDREW HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 662-7180
(207) 662-7190
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 662-7180
(207) 662-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD29170
ME
207R00000X
Internal Medicine Physician
P9364
TX
207RN0300X
Nephrology Physician
Primary
MD29170
ME
207RN0300X
Nephrology Physician
P9364
TX
208000000X
Pediatrics Physician
P9364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399803101
—
TX
Enumeration date
08/20/2012
Last updated
03/31/2025
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