Provider Demographics
NPI:1104801968
Name:CARREIRO, JANE E (DO)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:CARREIRO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-0626
Mailing Address - Country:US
Mailing Address - Phone:207-283-7000
Mailing Address - Fax:207-284-6291
Practice Address - Street 1:655 MAIN ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1543
Practice Address - Country:US
Practice Address - Phone:207-283-1407
Practice Address - Fax:207-284-6291
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1321204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME620091501OtherCIGNA
ME1104801968Medicaid
ME2362375OtherAETNA
ME120002424OtherRR MEDICARE
ME018065OtherBCBS
ME018065OtherBCBS
ME2362375OtherAETNA
MEE70839Medicare UPIN