Provider Demographics
NPI:1710099486
Name:FUHRMANN, CALVIN P (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:P
Last Name:FUHRMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PORTLAND RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6630
Mailing Address - Country:US
Mailing Address - Phone:207-985-3726
Mailing Address - Fax:207-985-9293
Practice Address - Street 1:24 PORTLAND RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6630
Practice Address - Country:US
Practice Address - Phone:207-985-3726
Practice Address - Fax:207-985-9293
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014675207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEB694721OtherHARVARD PILGRIM
ME2321880OtherAETNA
ME301480099Medicaid
ME027529OtherANTHEM
ME301480099Medicaid
MEMM6939Medicare PIN
ME027529OtherANTHEM