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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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