1538176367 NPI number — MRS. ANNA ELIZABETH MILLETT L.C.P.C NCC

Table of content: MRS. ANNA ELIZABETH MILLETT L.C.P.C NCC (NPI 1538176367)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538176367 NPI number — MRS. ANNA ELIZABETH MILLETT L.C.P.C NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLETT
Provider First Name:
ANNA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.P.C NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538176367
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
169 OCEAN ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
SOUTH PORTLAND
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04106-2838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-767-0117
Provider Business Mailing Address Fax Number:
207-767-3997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
169 OCEAN ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SOUTH PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04106-3636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-767-0117
Provider Business Practice Location Address Fax Number:
207-767-3997
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  CC1558 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200430000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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