Kazilionis, John Edward

Kazilionis, John Edward is an individual health care provider with primary practice located at 778 Main St Suite 1, South Portland ME 04106-5447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kazilionis, John Edward can be contacted via phone (207) 775-7758.

Contact Information

Primary practice address
778 Main St Suite 1 South Portland ME 04106-5447
Fax: (207) 879-7758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 917 Maine

Profile Details

NPI number 1114941937
LBN Legal business name Kazilionis, John Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 29th, 2013 - about 11 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 1114941937 NPPES
Maine MEDICAID 203900099

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