Provider Demographics
NPI:1053426387
Name:ALMAZAN, ARLENE CHRISTIE (MD)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:CHRISTIE
Last Name:ALMAZAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARLENE CHRISTIE
Other - Middle Name:HERNANDEZ
Other - Last Name:ALMAZAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:66 STONE ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5227
Mailing Address - Country:US
Mailing Address - Phone:207-626-3455
Mailing Address - Fax:207-626-7586
Practice Address - Street 1:5 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-4823
Practice Address - Country:US
Practice Address - Phone:207-873-2136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0161532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME339660099Medicaid
ME339660099Medicaid
MEH98360Medicare UPIN