Decotiis, Dawn Ennis

Decotiis, Dawn Ennis is an individual health care provider with primary practice located at 15 Gracelawn Rd Suite 103, Auburn ME 04210-6334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Decotiis, Dawn Ennis can be contacted via phone (207) 330-3950.

Contact Information

Primary practice address
15 Gracelawn Rd Suite 103 Auburn ME 04210-6334
Phone: (207) 330-3950
Fax: (207) 330-3955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP081531 Maine

Profile Details

NPI number 1184662587
LBN Legal business name Decotiis, Dawn Ennis
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 4th, 2011 - about 15 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 1184662587 NPPES
Maine MEDICAID 245200099

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