Provider Demographics
NPI:1073194049
Name:DIGNIFIED MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:DIGNIFIED MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-962-1200
Mailing Address - Street 1:69 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-4087
Mailing Address - Country:US
Mailing Address - Phone:207-962-1200
Mailing Address - Fax:
Practice Address - Street 1:69 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04473-4087
Practice Address - Country:US
Practice Address - Phone:207-962-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty