Anderson, Ellen M
Anderson, Ellen M is an sole proprietor health care provider with primary practice located at 839 W Main St , Dover Foxcroft ME 04426-1334. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Anderson, Ellen M can be contacted via phone (207) 564-2536.Contact Information
Primary practice address
839 W Main St
Dover Foxcroft ME 04426-1334
Phone: (207) 564-2536
Fax: (207) 564-8581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD155 | Maine |
Profile Details
| NPI number | 1104928464 |
|---|---|
| LBN Legal business name | Anderson, Ellen M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Feb 5th, 2015 - 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 | 1104928464 | NPPES |
| Maine | MEDICAID | 112960000 |
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