Kirsanov, Evgeny

Kirsanov, Evgeny is an individual health care provider with primary practice located at 140 Academy St , Presque Isle ME 04769-3102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kirsanov, Evgeny can be contacted via phone (207) 768-4000.

Contact Information

Primary practice address
140 Academy St Presque Isle ME 04769-3102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19390 Maine

Profile Details

NPI number 1053549295
LBN Legal business name Kirsanov, Evgeny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Nov 4th, 2013 - about 12 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 1053549295 NPPES
Maine MEDICAID 1053549295

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