NPI 1992291249 · live from the CMS NPI Registry
Charles Kevin Bergeron Poulin
Family Medicine in Lewiston, ME. National Provider Identifier 1992291249, active.
NPI record
| NPI | 1992291249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 76 High St, Lewiston, ME 04240 |
| Practice phone | 207-795-2800 |
| Enumerated | July 10, 2018 |
| Last updated | July 10, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | EC18180 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.