Mirela Liana Sasuclark in Waterville - Specialist
Mirela Liana Sasuclark - NPI 1235141391
Mirela Liana Sasuclark is a Specialist in Waterville, Maine. Mirela Liana Sasuclark practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mirela Liana Sasuclark is 1235141391. The last update date is 2021-06-03.
Mirela Liana Sasuclark's current location address is 11 Merryfield Ave, Waterville, Maine. You can contact this provider via phone number 2078737591. The mailing address for Mirela Liana Sasuclark is 11 Merryfield Ave, Waterville, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mirela Liana Sasuclark |
|---|---|
| Address | 11 Merryfield Ave, Waterville, Maine |
| Phone Number | 2078737591 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, MOT,OT |
NPI Number Detail
| NPI Number | 1235141391 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2021-06-03 |
Provider Mailing Address Detail
| Address | 11 Merryfield Ave |
|---|---|
| City | Waterville |
| State | Maine (ME) |
| Post Code | 49015139 |
| Phone Number | 2078737591 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OT1172 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 199590000 | ME | -- | |
| 27504 | ME | ANTHEM | |
| 3036 | ME | EBPA |
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What is the unique 10-digit identifier code assigned to Mirela Liana Sasuclark by the Centers for Medicare & Medicaid Services?
The Mirela Liana Sasuclark has been issued the NPI (National Provider Identifier) 1235141391 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mirela Liana Sasuclark's facilities are situated?
The facilities of Mirela Liana Sasuclark are physically located at the following address: 11 Merryfield Ave, Waterville, ME, 49015139.
What is the area of specialization for Mirela Liana Sasuclark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mirela Liana Sasuclark is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When did Mirela Liana Sasuclark receive its 1235141391 assignment?
The Mirela Liana Sasuclark was assigned its 1235141391 on 2006-08-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mirela Liana Sasuclark most recently updated?
The details pertaining to the Mirela Liana Sasuclark, including its address, specialty, and other relevant information, were last refreshed on 2021-06-03.
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