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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386773711 NPPES
Maine Other 5511272 AETNA
Maine Other 016910 AETNA
Maine Other 227305000 AETNA

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