Stadnicki, Michael

Stadnicki, Michael is an individual health care provider with primary practice located at 12 High St Ste 302, Lewiston ME 04240-7634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stadnicki, Michael can be contacted via phone (207) 795-5709.

Contact Information

Primary practice address
12 High St Ste 302 Lewiston ME 04240-7634
Fax: (207) 795-5649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 016038 Maine

Profile Details

NPI number 1831179803
LBN Legal business name Stadnicki, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Sep 15th, 2011 - 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 1831179803 NPPES
Maine MEDICAID 010211494

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