Provider Demographics
NPI:1407088594
Name:NOBEL CLINIC
Entity Type:Organization
Organization Name:NOBEL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-794-3299
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:ME
Mailing Address - Zip Code:04457-0579
Mailing Address - Country:US
Mailing Address - Phone:207-794-3299
Mailing Address - Fax:207-794-3305
Practice Address - Street 1:26 ENFIELD RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ME
Practice Address - Zip Code:04457-1190
Practice Address - Country:US
Practice Address - Phone:207-794-3299
Practice Address - Fax:207-794-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty