Sussman, Ted L
Sussman, Ted L is an sole proprietor health care provider with primary practice located at 22 Hartford St Sigrid E Tompkins Health Center, Houlton ME 04730-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sussman, Ted L can be contacted via phone (207) 532-4068.Contact Information
Primary practice address
22 Hartford St Sigrid E Tompkins Health Center
Houlton ME 04730-1844
Phone: (207) 532-4068
Fax: (207) 532-5974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD10269 | Maine |
Profile Details
| NPI number | 1679542708 |
|---|---|
| LBN Legal business name | Sussman, Ted L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 4th, 2017 - about 7 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 | 1679542708 | NPPES |
| Maine | Other | TEME18 | MEDICARE - PACER CLINIC |
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