Laster, Janese Shade'
Laster, Janese Shade' is an sole proprietor health care provider with primary practice located at 417 State St Ste 121 , Bangor ME 04401-6630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Laster, Janese Shade' can be contacted via phone (207) 973-4266.Contact Information
Primary practice address
417 State St Ste 121
Bangor ME 04401-6630
Phone: (207) 973-4266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 296806 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD23165 | Maine |
Profile Details
| NPI number | 1679839047 |
|---|---|
| LBN Legal business name | Laster, Janese Shade' |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Oct 22nd, 2020 - about 4 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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