Mann, Kaisa
Mann, Kaisa is an sole proprietor health care provider with primary practice located at 30 Danforth St Ste 311 , Portland ME 04101-4574. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mann, Kaisa can be contacted via phone (207) 619-3356.Contact Information
Primary practice address
30 Danforth St Ste 311
Portland ME 04101-4574
Phone: (207) 619-3356
Fax: (207) 300-6085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC5988 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC17730 | Maine |
Profile Details
| NPI number | 1821484940 |
|---|---|
| LBN Legal business name | Mann, Kaisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2015 |
| Last updated | Jul 18th, 2024 - about last year |
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 | 1821484940 | NPPES |
| Maine | MEDICAID | 1164484093 |
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