Provider Demographics
NPI:1225633357
Name:STEBER, PAUL JOSEPH JR
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JOSEPH
Last Name:STEBER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 GRAY RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2057
Mailing Address - Country:US
Mailing Address - Phone:207-878-0017
Mailing Address - Fax:
Practice Address - Street 1:65 GRAY RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2057
Practice Address - Country:US
Practice Address - Phone:207-878-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2022-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR46648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPR46648OtherBOARD OF PHARMACY