Zoll, Eden J.
Zoll, Eden J. is an individual health care provider with primary practice located at 208 Vaughan St , Portland ME 04102-3204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Zoll, Eden J. can be contacted via phone (207) 221-2355.Contact Information
Primary practice address
208 Vaughan St
Portland ME 04102-3204
Phone: (207) 221-2355
Fax: (207) 221-2356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 1715 | Maine |
Profile Details
| NPI number | 1689627515 |
|---|---|
| LBN Legal business name | Zoll, Eden J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 21st, 2011 - about 15 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 | 1689627515 | NPPES |
| Maine | Other | 100376 | ANTHEM BLUE CROSS BLUE SH |
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