Miner, Susan

Miner, Susan is an sole proprietor health care provider with primary practice located at 7 Church St , Damariscotta ME 04543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miner, Susan can be contacted via phone (207) 380-4011.

Contact Information

Primary practice address
7 Church St Damariscotta ME 04543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC15217 Maine

Profile Details

NPI number 1134469380
LBN Legal business name Miner, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2013
Last updated Feb 24th, 2016 - about 9 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 1134469380 NPPES
Maine MEDICAID 1134469380

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