Miesfeldt, Susan

Miesfeldt, Susan is an individual health care provider with primary practice located at 100 Campus Drive Suite 110, Scarborough ME 04074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Miesfeldt, Susan can be contacted via phone (207) 396-7678.

Contact Information

Primary practice address
100 Campus Drive Suite 110 Scarborough ME 04074
Phone: (207) 396-7678
Fax: (207) 396-8766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD16381 Maine

Profile Details

NPI number 1043281959
LBN Legal business name Miesfeldt, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Nov 26th, 2014 - about 11 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 1043281959 NPPES
New Hampshire Other 30204925 NH MEDICAID
New Hampshire Other 7429082 NH MEDICAID
New Hampshire Other 7338683 NH MEDICAID
New Hampshire MEDICAID 277890099 NH MEDICAID
New Hampshire Other 3394475 NH MEDICAID
New Hampshire Other 022168 NH MEDICAID
New Hampshire Other P00142224 NH MEDICAID

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