Individual
WILLIAM E HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C.
Contact information
Practice address
252 ENFIELD RD, LINCOLN, ME 04457-4146
(207) 794-3085
(207) 794-2847
Mailing address
815 MAIN ST, LINCOLN, ME 04457-4606
(207) 794-3085
(207) 794-2847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-162
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2811
RAILROAD MEDICARE
ME
Enumeration date
11/22/2005
Last updated
08/07/2008
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