Provider Demographics
NPI:1497937825
Name:BALDWIN, CHRISTINE (RPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 SUMMIT SPRING RD
Mailing Address - Street 2:
Mailing Address - City:POLAND SPRING
Mailing Address - State:ME
Mailing Address - Zip Code:04274-6709
Mailing Address - Country:US
Mailing Address - Phone:207-998-2437
Mailing Address - Fax:207-998-3517
Practice Address - Street 1:295 SUMMIT SPRING RD
Practice Address - Street 2:
Practice Address - City:POLAND SPRING
Practice Address - State:ME
Practice Address - Zip Code:04274-6709
Practice Address - Country:US
Practice Address - Phone:207-998-2437
Practice Address - Fax:207-998-3517
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT166174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME036342OtherANTHEM
MEM21837OtherCIGNA
ME036342OtherANTHEM