Ellensohn, Kristen M

Ellensohn, Kristen M is an individual health care provider with primary practice located at 144 State St , Portland ME 04101-3776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellensohn, Kristen M can be contacted via phone (207) 400-8500.

Contact Information

Primary practice address
144 State St Portland ME 04101-3776
Phone: (207) 400-8500
Fax: (207) 400-8508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209004972 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP141022 Maine

Profile Details

NPI number 1689618563
LBN Legal business name Ellensohn, Kristen M
Credentials APRN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 26th, 2015 - about 10 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 1689618563 NPPES
Maine MEDICAID CNP141022
Maine MEDICAID 209004972

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