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Contact Information

VICTORIA A DEANE, L.AC.
37 FALL BROOK ST
PORTLAND, ME04103-4224
 Phone: 908-268-3552
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VICTORIA A DEANE · (Female)

NPI # 1063064285
Status Active
Credentials L.AC.
Entity Individual
Enumeration date 07/09/2019
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ME License # AC625
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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