Dewolfe, Lisa F

Dewolfe, Lisa F is an individual health care provider with primary practice located at 6 E Chestnut St , Augusta ME 04330-5717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dewolfe, Lisa F can be contacted via phone (207) 623-1303.

Contact Information

Primary practice address
6 E Chestnut St Augusta ME 04330-5717
Phone: (207) 623-1303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-268 Maine

Profile Details

NPI number 1255370672
LBN Legal business name Dewolfe, Lisa F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 28th, 2010 - about 15 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 1255370672 NPPES
Maine MEDICAID 287370099

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