Dalzell, Mary-Ellen
Dalzell, Mary-Ellen is an individual health care provider with primary practice located at 15 Hospital Dr , York ME 03909-1011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dalzell, Mary-Ellen can be contacted via phone (207) 363-4321.Contact Information
Primary practice address
15 Hospital Dr
York ME 03909-1011
Phone: (207) 363-4321
Fax: (207) 351-2216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0309 | New Hampshire |
Profile Details
| NPI number | 1730198029 |
|---|---|
| LBN Legal business name | Dalzell, Mary-Ellen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730198029 | NPPES |
| New Hampshire | MEDICAID | 30332355 |
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