Poulin, Autumn Lynn

Poulin, Autumn Lynn is an individual health care provider with primary practice located at 37 Pond St , Bangor ME 04401-4641. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Poulin, Autumn Lynn can be contacted via phone (207) 945-4334.

Contact Information

Primary practice address
37 Pond St Bangor ME 04401-4641
Phone: (207) 945-4334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PA4831 Maine

Profile Details

NPI number 1154830420
LBN Legal business name Poulin, Autumn Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2017
Last updated Mar 17th, 2018 - about 7 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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