Axelrod, Michael

Axelrod, Michael is an individual health care provider with primary practice located at 268 Sillwater Avenue Acadia Hospital Corp., Bangor ME 04401. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Axelrod, Michael can be contacted via phone (207) 973-6100.

Contact Information

Primary practice address
268 Sillwater Avenue Acadia Hospital Corp. Bangor ME 04401
Phone: (207) 973-6100
Fax: (207) 973-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 606 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS1237 Maine

Profile Details

NPI number 1215081930
LBN Legal business name Axelrod, Michael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215081930 NPPES
Nebraska MEDICAID 47037660631

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