Kissin, Annette M

Kissin, Annette M is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Kissin, Annette M can be contacted via phone (207) 662-2246.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102
Phone: (207) 662-2246
Fax: (207) 662-6227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X F350360 New York
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R032022 Maine

Profile Details

NPI number 1295895456
LBN Legal business name Kissin, Annette M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 24th, 2018 - about 6 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 1295895456 NPPES
New York MEDICAID 03774449

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