Provider Demographics
NPI:1861561706
Name:DUMAINE, ALAN JOHN (MA CCCA)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:JOHN
Last Name:DUMAINE
Suffix:
Gender:M
Credentials:MA CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 NORTH MAIN STREET
Mailing Address - Street 2:HEARING IMPROVEMENT CENTER LLC
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1971
Mailing Address - Country:US
Mailing Address - Phone:860-561-2345
Mailing Address - Fax:860-561-2666
Practice Address - Street 1:28 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1971
Practice Address - Country:US
Practice Address - Phone:860-561-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0154237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
061478521OtherSTIRLING & STIRLING GROUP
CT004173564Medicaid
061478521OtherSOLDIERS SAILORS MARINES
OV5578OtherHEALTHNET
P365924OtherOXFORD
2211721OtherUS HEALTHCARE
061478521OtherCIGNA GROUP
061478521OtherHEATH CT GROUP
64000379OtherRAILROAD MEDICARE
XV5339OtherHEALTHNET GROUP
061478521OtherUNITED HEALTHCARE GROUP
061478521OtherFIRSERV GROUP
4499372OtherAETNA
730000154CT01OtherANTHEM BLUE CROSS