Nielsen, Lisa
Nielsen, Lisa is an individual health care provider with primary practice located at 1300 Crystal Rd , Island Falls ME 04747-4369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nielsen, Lisa can be contacted via phone (207) 463-3600.Contact Information
Primary practice address
1300 Crystal Rd
Island Falls ME 04747-4369
Phone: (207) 463-3600
Fax: (207) 463-3603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 013731 | Maine |
Profile Details
| NPI number | 1598706970 |
|---|---|
| LBN Legal business name | Nielsen, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Apr 4th, 2016 - about 10 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 | 1598706970 | NPPES |
| Maine | Other | P00301812 | RR MEDICARE |
| Maine | Other | 203814 | RR MEDICARE |
| Maine | MEDICAID | 298050099 | RR MEDICARE |
| Maine | Other | 5236796 | RR MEDICARE |
| Maine | Other | 144828 | RR MEDICARE |
| Maine | Other | 119411700 | RR MEDICARE |
| Maine | Other | 048673 | RR MEDICARE |
| Maine | Other | F77297 | RR MEDICARE |
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