Sasuclark, Mirela Liana
Sasuclark, Mirela Liana is an sole proprietor health care provider with primary practice located at 11 Merryfield Ave , Waterville ME 04901-5139. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sasuclark, Mirela Liana can be contacted via phone (207) 873-7591.Contact Information
Primary practice address
11 Merryfield Ave
Waterville ME 04901-5139
Phone: (207) 873-7591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT1172 | Maine |
Profile Details
| NPI number | 1235141391 |
|---|---|
| LBN Legal business name | Sasuclark, Mirela Liana |
| Credentials | MS, MOT,OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jun 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235141391 | NPPES |
| Maine | MEDICAID | 199590000 | |
| Maine | Other | 027504 | |
| Maine | Other | 03036 |
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