Maisak, Kenneth

Maisak, Kenneth is an individual health care provider with primary practice located at 68 Marginal Way , Portland ME 04101-2444. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Maisak, Kenneth can be contacted via phone (207) 879-1339.

Contact Information

Primary practice address
68 Marginal Way Portland ME 04101-2444
Phone: (207) 879-1339
Fax: (207) 879-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD1077 Maine

Profile Details

NPI number 1710125596
LBN Legal business name Maisak, Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Sep 5th, 2012 - about 14 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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