Lesage, Brian Michael

Lesage, Brian Michael is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lesage, Brian Michael can be contacted via phone (207) 662-2526.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-2526
Fax: (207) 662-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO3618 Maine

Profile Details

NPI number 1891256483
LBN Legal business name Lesage, Brian Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Aug 30th, 2023 - about 3 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 1891256483 NPPES
Maine MEDICAID 1891256483

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