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Organization

SEACOAST SLEEP SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER ENZINGER RRT (CEO)
(207) 439-4706
Entity
Organization

Contact information

Practice address
1 ROUTE 236, KITTERY, ME 03904-5528
(207) 439-4706
(207) 439-4793
Mailing address
1 ROUTE 236, KITTERY, ME 03904-5528
(207) 439-4706
(207) 439-4793

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12Y008519ME01
ANTHEM
NH
01
12Z048468ME01
ANTHEM
ME
01
1659305845
AETNA
ME
01
30765245
NEW HAMPSHIRE MEDICAID
ME
05
30765245
NH
05
431787200
ME
Enumeration date
07/11/2006
Last updated
09/01/2010
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