Provider Demographics
NPI:1568420453
Name:HEUBLEIN, BARBARA B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:HEUBLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0416
Mailing Address - Country:US
Mailing Address - Phone:207-338-9926
Mailing Address - Fax:207-338-9227
Practice Address - Street 1:163 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6003
Practice Address - Country:US
Practice Address - Phone:207-338-9926
Practice Address - Fax:207-338-9227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014452208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2939193OtherAETNA
ME044429OtherANTHEM
MEM216721OtherCIGNA
ME204801OtherHARVARD PILGRIM
MEB20163Medicare UPIN