Provider Demographics
NPI:1306068093
Name:HUTCHINS, DAVID G (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1009
Mailing Address - Country:US
Mailing Address - Phone:207-622-2102
Mailing Address - Fax:207-622-2102
Practice Address - Street 1:112 RIVER RD
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:ME
Practice Address - Zip Code:04330-1009
Practice Address - Country:US
Practice Address - Phone:207-622-2102
Practice Address - Fax:207-622-2102
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME139213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEH222001OtherBLUE SHIELD
MEAH6557992OtherDEA
HU600954Medicare ID - Type Unspecified
MET31656Medicare UPIN