Provider Demographics
NPI:1043207921
Name:CAPLE, JOCELYN F (MD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:F
Last Name:CAPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1849
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04241-1849
Mailing Address - Country:US
Mailing Address - Phone:207-784-2554
Mailing Address - Fax:207-777-5363
Practice Address - Street 1:15 WHITEHALL RD
Practice Address - Street 2:FRISBIE MEMORIAL HOSPITAL
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867
Practice Address - Country:US
Practice Address - Phone:603-335-8195
Practice Address - Fax:603-330-0098
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9917207ZP0102X
ME014543207ZP0102X
MA155548207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010673Medicaid
ME27220099Medicaid
MA3175511Medicaid
NH220025552OtherRR MEDICARE
MA3175511Medicaid
NH30010673Medicaid
ME27220099Medicaid
NHEX7096Medicare PIN