Minissale, Joseph J

Minissale, Joseph J is an individual health care provider with primary practice located at 4 Glen Cove Dr , Rockport ME 04856-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Minissale, Joseph J can be contacted via phone (207) 301-5790.

Contact Information

Primary practice address
4 Glen Cove Dr Rockport ME 04856-4235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DO2986 Maine
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS007619L Pennsylvania

Profile Details

NPI number 1366441354
LBN Legal business name Minissale, Joseph J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Dec 28th, 2021 - about 3 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 1366441354 NPPES
Pennsylvania MEDICAID 0016078690002

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