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
Phone: (207) 768-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053549295 | NPPES |
Maine | MEDICAID | 1053549295 |
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