Bowman, Ellen Rudge
Bowman, Ellen Rudge is an sole proprietor health care provider with primary practice located at 12 Shuman Ave Suite 18, Augusta ME 04330-6020. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bowman, Ellen Rudge can be contacted via phone (207) 621-0646.Contact Information
Primary practice address
12 Shuman Ave Suite 18
Augusta ME 04330-6020
Phone: (207) 621-0646
Fax: (207) 621-6861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC234 | Maine |
Profile Details
| NPI number | 1730396227 |
|---|---|
| LBN Legal business name | Bowman, Ellen Rudge |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730396227 | NPPES |
| Maine | Other | LICENSE # CC234 | CLINICAL COUNSELOR |
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