Sisam, Randall L
Sisam, Randall L is an individual health care provider with primary practice located at 180 Kennedy Memorial Dr , Waterville ME 04901-4540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sisam, Randall L can be contacted via phone (207) 872-5529.Contact Information
Primary practice address
180 Kennedy Memorial Dr
Waterville ME 04901-4540
Phone: (207) 872-5529
Fax: (207) 872-9219
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | LT06104A | Maine |
Profile Details
NPI number | 1487604435 |
---|---|
LBN Legal business name | Sisam, Randall L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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