Provider Demographics
NPI:1376723486
Name:AUGUST C SCHWENK, M.D.PC
Entity Type:Organization
Organization Name:AUGUST C SCHWENK, M.D.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:SCHWENK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:207-338-4449
Mailing Address - Street 1:16 FAHEY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6029
Mailing Address - Country:US
Mailing Address - Phone:207-338-4449
Mailing Address - Fax:207-338-9663
Practice Address - Street 1:16 FAHEY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6029
Practice Address - Country:US
Practice Address - Phone:207-338-4449
Practice Address - Fax:207-338-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME00963207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEB82263Medicare UPIN