Provider Demographics
NPI:1588739874
Name:ARMELLINO, NICHOLAS C (DO)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:C
Last Name:ARMELLINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1011
Mailing Address - Country:US
Mailing Address - Phone:207-263-4321
Mailing Address - Fax:207-363-0120
Practice Address - Street 1:15 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1011
Practice Address - Country:US
Practice Address - Phone:207-263-4321
Practice Address - Fax:207-363-0120
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14186207P00000X
MET0612207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0642976OtherCIGNA
MA2130424Medicaid
NH1588739874OtherANTHEM BCBS NH
NHAA136485OtherHARVARD PILGRIM HEALTHCARE NE
NHP00767952OtherRAILROAD MEDICARE
NH30227124Medicaid
ME433481399Medicaid
NH0642976OtherCIGNA