Mailhot, Reginald
Mailhot, Reginald is an individual health care provider with primary practice located at 220 Sabattus St , Lewiston ME 04240-6347. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mailhot, Reginald can be contacted via phone (207) 782-9501.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT602 | Maine |
Profile Details
| NPI number | 1962458505 |
|---|---|
| LBN Legal business name | Mailhot, Reginald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 6th, 2009 - about 17 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 | 1962458505 | NPPES |
| Maine | Other | M52420 | CIGNA HEALTHSOURCE # |
| Maine | MEDICAID | 105560000 | CIGNA HEALTHSOURCE # |
| Maine | Other | 000023 | CIGNA HEALTHSOURCE # |
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