Quimby, Susan A.

Quimby, Susan A. is an sole proprietor health care provider with primary practice located at 805 Stevens Ave , Portland ME 04103-2626. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Quimby, Susan A. can be contacted via phone (207) 772-6279.

Contact Information

Primary practice address
805 Stevens Ave Portland ME 04103-2626
Phone: (207) 772-6279
Fax: (207) 347-4281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D121 Maine

Profile Details

NPI number 1982614947
LBN Legal business name Quimby, Susan A.
Credentials R.D.,L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated May 21st, 2015 - about 10 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 1982614947 NPPES
Maine Other 3534992 AETNA
Maine Other 11240707 AETNA
Maine Other 022185 AETNA

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