Lariviere, Samuel E
Lariviere, Samuel E is an sole proprietor health care provider with primary practice located at 4 Commons Ave Ste A , Windham ME 04062-5554. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lariviere, Samuel E can be contacted via phone (207) 893-1738.Contact Information
Primary practice address
4 Commons Ave Ste A
Windham ME 04062-5554
Phone: (207) 893-1738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5571 | Maine |
Profile Details
| NPI number | 1598248361 |
|---|---|
| LBN Legal business name | Lariviere, Samuel E |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2018 |
| Last updated | Sep 7th, 2021 - about 5 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 | 1598248361 | NPPES |
| Maine | MEDICAID | 1598248361 |
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