Provider Demographics
NPI:1841411337
Name:BEAN, ALAN CLARK (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:CLARK
Last Name:BEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 WESTON FARM ROAD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:ME
Mailing Address - Zip Code:04040
Mailing Address - Country:US
Mailing Address - Phone:207-583-2923
Mailing Address - Fax:207-583-9008
Practice Address - Street 1:75 WESTON FARM ROAD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:ME
Practice Address - Zip Code:04040
Practice Address - Country:US
Practice Address - Phone:207-583-4008
Practice Address - Fax:207-583-9008
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0127302083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine