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:
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Health care specialties

SpecialtyCodeLicense #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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