Fonseca Escudero, Amelia

Fonseca Escudero, Amelia is an individual health care provider with primary practice located at 268 Stillwater Ave , Bangor ME 04401-3945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fonseca Escudero, Amelia can be contacted via phone (207) 973-6100.

Contact Information

Primary practice address
268 Stillwater Ave Bangor ME 04401-3945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 225623 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD19646 Maine

Profile Details

NPI number 1942422399
LBN Legal business name Fonseca Escudero, Amelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated May 8th, 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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