Provider Demographics
NPI:1477660728
Name:WEBHANNET INTERNAL MEDICINE PA
Entity Type:Organization
Organization Name:WEBHANNET INTERNAL MEDICINE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:GILROY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD FACP
Authorized Official - Phone:207-646-8386
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:277 POST RD
Mailing Address - City:MOODY
Mailing Address - State:ME
Mailing Address - Zip Code:04054-0496
Mailing Address - Country:US
Mailing Address - Phone:207-646-8386
Mailing Address - Fax:207-641-2855
Practice Address - Street 1:277 POST RD
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:ME
Practice Address - Zip Code:04054
Practice Address - Country:US
Practice Address - Phone:207-646-8386
Practice Address - Fax:207-641-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WEBH117758OtherANTHEM NEW HAMPSHIRE
WEBH117758OtherANTHEM NEW HAMPSHIRE