Grant, Suzette M

Grant, Suzette M is an sole proprietor health care provider with primary practice located at 860 Tibbettstown Rd , Columbia Falls ME 04623-5021. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Grant, Suzette M can be contacted via phone (207) 483-2883.

Contact Information

Primary practice address
860 Tibbettstown Rd Columbia Falls ME 04623-5021
Phone: (207) 483-2883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 3002032 Maine

Profile Details

NPI number 1306982780
LBN Legal business name Grant, Suzette M
Credentials INDIVIDUAL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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