Provider Demographics
NPI:1710408620
Name:MAINE OSTEOPATHIC HEALTH LLC
Entity Type:Organization
Organization Name:MAINE OSTEOPATHIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:860-966-6372
Mailing Address - Street 1:8 ELM ST
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1506
Mailing Address - Country:US
Mailing Address - Phone:860-966-6372
Mailing Address - Fax:
Practice Address - Street 1:8 ELM ST
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-1506
Practice Address - Country:US
Practice Address - Phone:207-725-8079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty