Beattie, Kenneth A.

Beattie, Kenneth A. is an sole proprietor health care provider with primary practice located at 64 Church St , Ellsworth ME 04605-1658. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beattie, Kenneth A. can be contacted via phone (207) 669-6011.

Contact Information

Primary practice address
64 Church St Ellsworth ME 04605-1658
Phone: (207) 669-6011
Fax: (207) 669-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1018 Maine

Profile Details

NPI number 1023032869
LBN Legal business name Beattie, Kenneth A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1023032869 NPPES
Maine MEDICAID 336970000

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