Provider Demographics
NPI:1124352133
Name:CARMEN, ARTHUR L
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:L
Last Name:CARMEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-3744
Mailing Address - Country:US
Mailing Address - Phone:207-329-1125
Mailing Address - Fax:
Practice Address - Street 1:44 WEBSTER ROAD
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093
Practice Address - Country:US
Practice Address - Phone:207-329-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider