Provider Demographics
NPI:1851397293
Name:ATKINS, HENRY H (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:H
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OLD SLOOP LANE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2912
Mailing Address - Country:US
Mailing Address - Phone:207-319-0415
Mailing Address - Fax:207-888-9592
Practice Address - Street 1:735 WILSON ST
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412
Practice Address - Country:US
Practice Address - Phone:207-945-5247
Practice Address - Fax:207-990-1248
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME009174207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1042020OtherAETNA HMO
ME5688247OtherAETNA POS
ME080096277OtherRAILROAD MEDICARE
ME275580099Medicaid
ME5688247OtherAETNA POS
ME080096277OtherRAILROAD MEDICARE
ME275580099Medicaid