Individual
CAREY THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3 UNION STREET, SUITE 303, PORTLAND, ME 04101
(207) 749-5680
Mailing address
2 UNION ST STE 303, PORTLAND, ME 04101-4295
(207) 749-5680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2712
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100183
ANTHEM BLUE CROSS BLUE SH
ME
Enumeration date
05/27/2006
Last updated
12/18/2014
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