NPI 1225020480
Jean Henderson Tibbetts, MD
Practice location
- Address
- 417 State St Suite 230, Bangor, ME 04401-6630
- Phone
- (207) 947-1291
- Fax
- (207) 947-9241
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1225020480
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2005
- Record last updated
- 29 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.