Verrill, Jessica A
Verrill, Jessica A is an sole proprietor health care provider with primary practice located at 118 Maine Mall Rd Suite 3, South Portland ME 04106-2309. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Verrill, Jessica A can be contacted via phone (207) 899-0222.Contact Information
Primary practice address
118 Maine Mall Rd Suite 3
South Portland ME 04106-2309
Phone: (207) 899-0222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MT2532 | Maine |
Profile Details
| NPI number | 1992826192 |
|---|---|
| LBN Legal business name | Verrill, Jessica A |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Mar 28th, 2016 - about 9 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 | 1992826192 | NPPES |
| Maine | Other | 099083 | ANTHEM |
| Maine | Other | 1992829162 | ANTHEM |
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