Provider Demographics
NPI:1447240791
Name:DAWSON-CHALAT, ERIN COLLEEN (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:COLLEEN
Last Name:DAWSON-CHALAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:71 U.S. ROUTE ONE, SUITE A
Mailing Address - Street 2:ELEVATION CENTER
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9375
Mailing Address - Country:US
Mailing Address - Phone:207-885-8400
Mailing Address - Fax:207-885-8499
Practice Address - Street 1:71 U.S. ROUTE ONE, SUITE A
Practice Address - Street 2:ELEVATION CENTER
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9375
Practice Address - Country:US
Practice Address - Phone:207-885-8400
Practice Address - Fax:207-885-8499
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME013242207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1042466OtherAETNA
ME254200099Medicaid
ME017585OtherANTHEM
MEM3840OtherCIGNA
ME160031180OtherGBA PALMETTO/RR MEDICARE
ME160031180OtherGBA PALMETTO/RR MEDICARE
ME017585OtherANTHEM