Ted L Sussman

LBN: Ted L Sussman
Ted L Sussman is an health care organization with primary practice located at 20 Hartford St , Houlton ME 04730-1891. The organization recently has only one registered license in Other Service Providers / Interpreter, which is considered as the primary health care specialty. Ted L Sussman can be contacted via phone (207) 532-7671, or through Sussman, Ted Lawrence via phone (207) 532-7671.

Contact Information

Primary practice address
20 Hartford St Houlton ME 04730-1891
Fax:
Website:
Authorized official contact:
Name: Sussman, Ted Lawrence Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X 010269 Maine

Profile Details

NPI number 1578710802
LBN Legal business name Ted L Sussman
DBA Doing business as
Authorized official Sussman, Ted Lawrence Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578710802 NPPES
Maine Other ME1883 MEDICARE-PACER CLINIC
Maine MEDICAID 293380099 MEDICARE-PACER CLINIC

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