Iaculli, Mary
Iaculli, Mary is an sole proprietor health care provider with primary practice located at 331 Veranda St , Portland ME 04103-5545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Iaculli, Mary can be contacted via phone (207) 828-2402.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | DO2695 | Maine |
Profile Details
| NPI number | 1407266778 |
|---|---|
| LBN Legal business name | Iaculli, Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2014 |
| Last updated | Oct 2nd, 2020 - about 4 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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