Susan M Hage
Physical Medicine & Rehabilitation Doctor
77 Bates St Ste 102 Medical Rehab Associates
Lewiston
, Maine 04240
Susan M Hage
Physical Medicine & Rehabilitation Doctor
77 Bates St Ste 102 Medical Rehab Associates
Lewiston
, Maine 04240
(207) 783-2439
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Susan M Hage
- 77 Bates St Ste 102 Medical Rehabilitation Associates
- Lewiston, ME
- Zip : 04240
- Fax : (207) 783-2439
- Phone : (207) 783-2300
Second Address
- Susan M Hage
- 77 Bates St Ste 102 Medical Rehab Associates
- Lewiston, ME
- Zip : 04240
- Fax : (207) 783-2439
- Phone : (207) 783-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 01676 | ME |
National Provider Identifier
| NPI | 1043285364 |
|---|---|
| Provider Name | Susan M Hage |
| First Address | Lewiston, ME 04240 |
| Second Address | Lewiston, ME 04240 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 28/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010424957 | CHAMPUS (01) | |
| 010424957 | CIGNA (01) | |
| 010424957 | EMPLOY STANDARDS (01) | |
| 010424957 | STANDARD TAX ID (01) | |
| 010424957 | TRICARE (01) | |
| 042094 | BCBS (01) | |
| 250014126 | MEDICARE RAILROAD (01) | |
| 3032661 | AETNA (01) | |
| 325310099 | (05) | ME |
| 80672 | HARVARD PILGRIM (01) | |
| H16499 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.