Provider Demographics
NPI:1720008840
Name:CHAMBERLAIN, JOSETTE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:L
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSETTE
Other - Middle Name:L
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-0040
Mailing Address - Country:US
Mailing Address - Phone:207-498-2359
Mailing Address - Fax:207-498-3947
Practice Address - Street 1:163 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3567
Practice Address - Country:US
Practice Address - Phone:207-498-6921
Practice Address - Fax:207-498-1697
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015327207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME02475OtherATENA-NON
ME12/5/2006OtherCIGNA
ME291380099Medicaid
ME5626631OtherATENA-HMO
ME2426734 06OtherUNITED HEALTH CARE
ME4/25/2007OtherHEALTHNET
ME11/20/2006OtherHARVARD PILGRIM
ME10/16/2006OtherMARTINS POINT
ME8/4/2006OtherBENEFIT SERVICES
ME02475OtherATENA-NON
ME2426734 06OtherUNITED HEALTH CARE