Kiesow, Jaime Storey
Kiesow, Jaime Storey is an sole proprietor health care provider with primary practice located at 85 Middle Rd , Cumberland ME 04021-3707. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kiesow, Jaime Storey can be contacted via phone (207) 829-8007.Contact Information
Primary practice address
85 Middle Rd
Cumberland ME 04021-3707
Phone: (207) 829-8007
Fax: (207) 829-8008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT1178 | Maine |
Profile Details
NPI number | 1659424380 |
---|---|
LBN Legal business name | Kiesow, Jaime Storey |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2007 |
Last updated | Apr 5th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659424380 | NPPES |
Maine | MEDICAID | 133260099 |
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