Provider Demographics
NPI:1932300142
Name:BUCHAN, IAN FM (PA-C)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:FM
Last Name:BUCHAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:WOOLWICH
Mailing Address - State:ME
Mailing Address - Zip Code:04579-4424
Mailing Address - Country:US
Mailing Address - Phone:207-442-7675
Mailing Address - Fax:
Practice Address - Street 1:CENTRAL MAINE PARTNERS IN HEALTH
Practice Address - Street 2:30 BELGRADE AVENUE
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210
Practice Address - Country:US
Practice Address - Phone:207-783-0018
Practice Address - Fax:207-783-0019
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA054363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical