Individual
MR. JOHN S CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2358
ME
207L00000X
Anesthesiology Physician
Primary
2358
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004290293
AETNA
ME
01
—
027707
ANTHEM BLUE SHIELD
ME
01
—
1900009004
PBA RAILROAD MEDICARE
ME
05
—
195720199
—
ME
01
—
CIGNA
1538057
ME
Enumeration date
08/10/2005
Last updated
12/11/2013
Update your record
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