Sivulich, Michael R

Sivulich, Michael R is an individual health care provider with primary practice located at 93 Campus Ave , Lewiston ME 04240-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sivulich, Michael R can be contacted via phone (207) 755-3636.

Contact Information

Primary practice address
93 Campus Ave Lewiston ME 04240-6030
Phone: (207) 755-3636
Fax: (207) 755-3652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11922 Maine

Profile Details

NPI number 1639155393
LBN Legal business name Sivulich, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Dec 30th, 2014 - about 11 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 1639155393 NPPES
Other 100005851 RAILROAD MEDICARE
Other 1040131 RAILROAD MEDICARE
MEDICAID 309480099 RAILROAD MEDICARE
Other 002390 RAILROAD MEDICARE

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