Individual
ALISON N CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR STE 200, PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1174
ME
363AS0400X
Surgical Physician Assistant
Primary
PA1174
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730251992
—
ME
Enumeration date
11/14/2006
Last updated
02/14/2022
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