Stitzell, Willard
Stitzell, Willard is an sole proprietor health care provider with primary practice located at 680 Hancock Pond Rd , Sebago ME 04029-3015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Stitzell, Willard can be contacted via phone (207) 571-8585.Contact Information
Primary practice address
680 Hancock Pond Rd
Sebago ME 04029-3015
Phone: (207) 571-8585
Fax: (207) 513-1069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 1148 | Maine |
Profile Details
| NPI number | 1548320971 |
|---|---|
| LBN Legal business name | Stitzell, Willard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Sep 10th, 2013 - about 12 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 | 1548320971 | NPPES |
| Maine | Other | 010847 | ANTHEM |
| Maine | Other | E47521 | ANTHEM |
| Maine | MEDICAID | 166850099 | ANTHEM |
| Maine | MEDICAID | 20001672 | ANTHEM |
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