Fickett, Susan

Fickett, Susan is an individual health care provider with primary practice located at 133 Corporate Dr Suite 2, Bangor ME 04401-4312. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fickett, Susan can be contacted via phone (207) 992-9286.

Contact Information

Primary practice address
133 Corporate Dr Suite 2 Bangor ME 04401-4312
Phone: (207) 992-9286
Fax: (207) 992-9287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT504 Maine

Profile Details

NPI number 1811906266
LBN Legal business name Fickett, Susan
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 21st, 2009 - about 16 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 1811906266 NPPES
Maine Other 2944638 AETNA
Maine MEDICAID 249170099 AETNA

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