O'Connor, Susan E

O'Connor, Susan E is an individual health care provider with primary practice located at 33 Whiting Hill Rd Suite 33, Brewer ME 04412-1021. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. O'Connor, Susan E can be contacted via phone (207) 973-9720.

Contact Information

Primary practice address
33 Whiting Hill Rd Suite 33 Brewer ME 04412-1021
Phone: (207) 973-9720
Fax: (207) 973-9710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013812 Maine

Profile Details

NPI number 1629034699
LBN Legal business name O'Connor, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 29th, 2014 - about 12 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 1629034699 NPPES
Maine MEDICAID 296670099

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