Lidstone, Susan

Lidstone, Susan is an individual health care provider with primary practice located at 12 Union St , Rockland ME 04841-2739. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lidstone, Susan can be contacted via phone (207) 701-4400.

Contact Information

Primary practice address
12 Union St Rockland ME 04841-2739
Phone: (207) 701-4400
Fax: (207) 701-4486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN20742 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP81772 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X CNS84119 Maine

Profile Details

NPI number 1548356900
LBN Legal business name Lidstone, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Sep 10th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548356900 NPPES
Maine MEDICAID 257440099

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