Lageroos, Kenneth W
Lageroos, Kenneth W is an sole proprietor health care provider with primary practice located at 93 Campus Ave , Lewiston ME 04240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lageroos, Kenneth W can be contacted via phone (207) 777-8442.Contact Information
Primary practice address
93 Campus Ave
Lewiston ME 04240
Phone: (207) 777-8442
Fax: (207) 777-8425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | DO1227 | Maine |
Profile Details
| NPI number | 1538277868 |
|---|---|
| LBN Legal business name | Lageroos, Kenneth W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538277868 | NPPES |
| Maine | Other | 037460 | ANTHEM BC/BS |
| Maine | MEDICAID | 325630099 | ANTHEM BC/BS |
| Maine | Other | 050064569 | ANTHEM BC/BS |
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