Niland, Lori A

Niland, Lori A is an individual health care provider with primary practice located at 22 Bramhall Street , Portland ME 04102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Niland, Lori A can be contacted via phone (207) 662-2934.

Contact Information

Primary practice address
22 Bramhall Street Portland ME 04102
Phone: (207) 662-2934
Fax: (207) 662-6389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-620 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0859 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA620 Maine

Profile Details

NPI number 1003893108
LBN Legal business name Niland, Lori A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 8th, 2015 - about 11 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 1003893108 NPPES
New Hampshire MEDICAID 3071700
New Hampshire Other P01038297
New Hampshire MEDICAID 30332527

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