Provider Demographics
NPI:1548432610
Name:DRESSEL, EILA LINDA (MED)
Entity type:Individual
Prefix:MRS
First Name:EILA
Middle Name:LINDA
Last Name:DRESSEL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:EILA
Other - Last Name:KIVIAHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:883 BANGOR RD
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-3251
Mailing Address - Country:US
Mailing Address - Phone:207-664-0683
Mailing Address - Fax:207-664-7427
Practice Address - Street 1:883 BANGOR RD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-3251
Practice Address - Country:US
Practice Address - Phone:207-664-0683
Practice Address - Fax:207-664-7427
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator