Carbone, Gregory

Carbone, Gregory is an individual health care provider with primary practice located at 491 Stevens Ave , Portland ME 04103-2636. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carbone, Gregory can be contacted via phone (207) 828-4026.

Contact Information

Primary practice address
491 Stevens Ave Portland ME 04103-2636
Phone: (207) 828-4026
Fax: (207) 773-4472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS499 Maine

Profile Details

NPI number 1326215864
LBN Legal business name Carbone, Gregory
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - 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 1326215864 NPPES
Maine MEDICAID 314040099

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