Fuchs Ertman, Debra A

Fuchs Ertman, Debra A is an individual health care provider with primary practice located at 84 Marginal Way Suite 700, Portland ME 04101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fuchs Ertman, Debra A can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 700 Portland ME 04101
Fax: (207) 523-8597
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014502 Maine

Profile Details

NPI number 1730158403
LBN Legal business name Fuchs Ertman, Debra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 2nd, 2017 - about 8 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 1730158403 NPPES
Other 033196 ANTHEM
MEDICAID 239240099 ANTHEM
Other 1041942 ANTHEM

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