Loiselle, Daniel L

Loiselle, Daniel L is an individual health care provider with primary practice located at 84 Marginal Way Suite 700, Portland ME 04101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Loiselle, Daniel L can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 700 Portland ME 04101
Fax: (207) 523-8595
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014644 Maine

Profile Details

NPI number 1316906589
LBN Legal business name Loiselle, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 29th, 2010 - about 15 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 1316906589 NPPES
Other 030443 ANTHEM
Other 1041117 ANTHEM
MEDICAID 2580Z0099 ANTHEM

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