Fasulo, Susan

Fasulo, Susan is an sole proprietor health care provider with primary practice located at 250 Arsenal St State House Station 11, Augusta ME 04330-5742. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fasulo, Susan can be contacted via phone (207) 215-9079.

Contact Information

Primary practice address
250 Arsenal St State House Station 11 Augusta ME 04330-5742
Phone: (207) 215-9079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC14158 Maine

Profile Details

NPI number 1962819201
LBN Legal business name Fasulo, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2014
Last updated Sep 4th, 2014 - about 12 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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