Eustis, Dana L.

Eustis, Dana L. is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Eustis, Dana L. can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2603
Phone: (207) 828-2100
Fax: (207) 828-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X R029817 Maine

Profile Details

NPI number 1740203157
LBN Legal business name Eustis, Dana L.
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1740203157 NPPES
Maine Other 041103 ANTHEM RNFA STAR NO.

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