Correia, Susan Haskell
Correia, Susan Haskell is an sole proprietor health care provider with primary practice located at 380 Western Ave Ste D , South Portland ME 04106-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Correia, Susan Haskell can be contacted via phone (207) 775-1670.Contact Information
Primary practice address
380 Western Ave Ste D
South Portland ME 04106-1720
Phone: (207) 775-1670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4335 | Maine |
Profile Details
| NPI number | 1386773711 |
|---|---|
| LBN Legal business name | Correia, Susan Haskell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Feb 18th, 2020 - about 4 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 | 1386773711 | NPPES |
| Maine | Other | 5511272 | AETNA |
| Maine | Other | 016910 | AETNA |
| Maine | Other | 227305000 | AETNA |
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