Berube, Michelle J

Berube, Michelle J is an sole proprietor health care provider with primary practice located at 272 Main St Madawaska, Madawaska ME 04756-1126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berube, Michelle J can be contacted via phone (207) 436-9587.

Contact Information

Primary practice address
272 Main St Madawaska Madawaska ME 04756-1126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11763 Maine

Profile Details

NPI number 1952580847
LBN Legal business name Berube, Michelle J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated May 10th, 2016 - about 9 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 1952580847 NPPES
Maine MEDICAID 432729699

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