Ciccomancini, Suzanne

Ciccomancini, Suzanne is an sole proprietor health care provider with primary practice located at 80 Fall Brook St , Portland ME 04103-4225. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ciccomancini, Suzanne can be contacted via phone (207) 807-3763.

Contact Information

Primary practice address
80 Fall Brook St Portland ME 04103-4225
Phone: (207) 807-3763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT562 Maine

Profile Details

NPI number 1902265218
LBN Legal business name Ciccomancini, Suzanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2016
Last updated Feb 15th, 2016 - 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.

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