Provider Demographics
NPI:1366103822
Name:NORTHWEST WINDS LLC
Entity type:Organization
Organization Name:NORTHWEST WINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-461-5614
Mailing Address - Street 1:121 HATCH COVE RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-3329
Mailing Address - Country:US
Mailing Address - Phone:207-461-5614
Mailing Address - Fax:
Practice Address - Street 1:121 HATCH COVE RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-3329
Practice Address - Country:US
Practice Address - Phone:207-461-5614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty