Lanouette, Jason G
Lanouette, Jason G is an individual health care provider with primary practice located at 94 Auburn Street #103, Portland ME 04103. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lanouette, Jason G can be contacted via phone (207) 797-7578.Contact Information
Primary practice address
94 Auburn Street #103
Portland ME 04103
Phone: (207) 797-7578
Fax: (207) 797-8165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 799 | Maine |
Profile Details
| NPI number | 1275502056 |
|---|---|
| LBN Legal business name | Lanouette, Jason G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1275502056 | NPPES |
| Other | 036569 | ANTHEM |
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