Self, Cynthia Amanda
Self, Cynthia Amanda is an individual health care provider with primary practice located at 900 Hammond St # A , Bangor ME 04401-4378. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Self, Cynthia Amanda can be contacted via phone (207) 947-6743.Contact Information
Primary practice address
900 Hammond St # A
Bangor ME 04401-4378
Phone: (207) 947-6743
Fax: (207) 945-4397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 016811 | Maine |
Profile Details
| NPI number | 1275521650 |
|---|---|
| LBN Legal business name | Self, Cynthia Amanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 5th, 2018 - about 8 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 | 1275521650 | NPPES |
| Maine | MEDICAID | 431809499 |
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