Dersch, Candice M

Dersch, Candice M is an individual health care provider with primary practice located at 887 Congress St Suite 200, Portland ME 04102-3166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dersch, Candice M can be contacted via phone (207) 771-5549.

Contact Information

Primary practice address
887 Congress St Suite 200 Portland ME 04102-3166
Phone: (207) 771-5549
Fax: (207) 771-7834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD18808 Maine

Profile Details

NPI number 1437358157
LBN Legal business name Dersch, Candice M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Aug 3rd, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437358157 NPPES
New Hampshire MEDICAID 32000563

Popular Providers