Caraballo, Hector Rafael
Caraballo, Hector Rafael is an individual health care provider with primary practice located at 67 Eustis Pkwy , Waterville ME 04901-5173. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Caraballo, Hector Rafael can be contacted via phone (207) 873-2136.Contact Information
Primary practice address
67 Eustis Pkwy
Waterville ME 04901-5173
Phone: (207) 873-2136
Fax: (207) 872-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC3373 | Maine |
Profile Details
| NPI number | 1265444004 |
|---|---|
| LBN Legal business name | Caraballo, Hector Rafael |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Mar 17th, 2009 - about 15 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 | 1265444004 | NPPES |
| Maine | MEDICAID | 432149999 |
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