Cushing, Lisa M

Cushing, Lisa M is an individual health care provider with primary practice located at 127 Palmer St , Calais ME 04619-1300. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cushing, Lisa M can be contacted via phone (207) 498-6431.

Contact Information

Primary practice address
127 Palmer St Calais ME 04619-1300
Phone: (207) 498-6431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC3653 Maine

Profile Details

NPI number 1346611860
LBN Legal business name Cushing, Lisa M
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Jan 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346611860 NPPES
Maine MEDICAID CAC3653

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