Lussier, Eliza G
Lussier, Eliza G is an sole proprietor health care provider with primary practice located at 945 Sawyer St , South Portland ME 04106-6535. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lussier, Eliza G can be contacted via phone (207) 233-9272.Contact Information
Primary practice address
945 Sawyer St
South Portland ME 04106-6535
Phone: (207) 233-9272
Fax: (207) 221-1063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1822 | Maine |
Profile Details
| NPI number | 1215981105 |
|---|---|
| LBN Legal business name | Lussier, Eliza G |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | May 7th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215981105 | NPPES |
| Maine | MEDICAID | 432181399 |
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