Eid, Jessica Noelle

Eid, Jessica Noelle is an individual health care provider with primary practice located at 25A June St Ste 111 , Sanford ME 04073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Eid, Jessica Noelle can be contacted via phone (207) 490-7998.

Contact Information

Primary practice address
25A June St Ste 111 Sanford ME 04073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO2856 Maine

Profile Details

NPI number 1598852634
LBN Legal business name Eid, Jessica Noelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 13th, 2019 - about 7 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 1598852634 NPPES
Oregon MEDICAID 006214
Oregon MEDICAID 1092221

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