Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB EMERSON CROTHERS, M.D.
ActiveDR. JACOB EMERSON CROTHERS, M.D. is a 2083A0300X healthcare provider located in PORTLAND, Maine. NPI 1336433085 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · PORTLAND, ME
Registration Details
- NPI Number
- 1336433085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2011 (15.239764946996 yrs)
- Last Updated
- Jan 26, 2022
- Licenses
-
052724 (CT)052724 (CT)MD20886 (ME)
Practice Information
- Address
-
222 SAINT JOHN ST STE 322PORTLAND, ME, 041023059Browse ME providers · Browse ZIP 04102
- Phone
- 2075603422
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- 2083A0300X
Other 2083A0300X Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. DEREK R LIBBY | DO | 1184815730 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.