Iacuessa, Kristie A

Iacuessa, Kristie A is an individual health care provider with primary practice located at 163 Main St , Yarmouth ME 04096-6720. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Iacuessa, Kristie A can be contacted via phone (207) 846-1380.

Contact Information

Primary practice address
163 Main St Yarmouth ME 04096-6720
Phone: (207) 846-1380
Fax: (207) 846-9701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AP1251, DL20000389 Maine

Profile Details

NPI number 1063586907
LBN Legal business name Iacuessa, Kristie A
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 17th, 2010 - about 14 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 1063586907 NPPES
Maine MEDICAID 274460099
Maine Other 3207069
Maine Other 060404

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