Individual
WILLIAM RAYMOND CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 B KENNEDY MEMORIAL DRIVE, WATERVILLE, ME 04901
(207) 873-0737
(207) 861-5446
Mailing address
325 B KENNEDY MEMORIAL DRIVE, WATERVILLE, ME 04901
(207) 873-0737
(207) 861-5446
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11743
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001940
ANTHEM PIN 001940
—
01
—
040001080
RR MEDICARE
—
05
—
114590000
—
ME
05
—
114590099
—
ME
01
—
M60981
PIN M60981 GROUP M60980
—
Enumeration date
09/20/2006
Last updated
10/16/2012
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