Rotta, Stacey Anne

Rotta, Stacey Anne is an individual health care provider with primary practice located at 887 Congress St , Portland ME 04102-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Rotta, Stacey Anne can be contacted via phone (207) 774-6368.

Contact Information

Primary practice address
887 Congress St Portland ME 04102-3100
Phone: (207) 774-6368
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A156409 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD23505 Maine

Profile Details

NPI number 1093077703
LBN Legal business name Rotta, Stacey Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2012
Last updated Mar 23rd, 2020 - about 5 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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