Sansonetti, Robert Damian

Sansonetti, Robert Damian is an sole proprietor health care provider with primary practice located at 144 Us Route 1 , Scarborough ME 04074-7203. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sansonetti, Robert Damian can be contacted via phone (207) 883-5444.

Contact Information

Primary practice address
144 Us Route 1 Scarborough ME 04074-7203
Fax: (207) 883-5165
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013210 Maine

Profile Details

NPI number 1184630006
LBN Legal business name Sansonetti, Robert Damian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Feb 10th, 2010 - about 14 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 1184630006 NPPES
Maine Other 013210 LICENSE
Maine MEDICAID 124180000 LICENSE

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