Cromwell, Jessica Summer Brooke

Cromwell, Jessica Summer Brooke is an individual health care provider with primary practice located at 268 Stillwater Ave , Bangor ME 04401-3945. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Cromwell, Jessica Summer Brooke can be contacted via phone (207) 973-6100.

Contact Information

Primary practice address
268 Stillwater Ave Bangor ME 04401-3945
Phone: (207) 973-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1942817739
LBN Legal business name Cromwell, Jessica Summer Brooke
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2020
Last updated May 26th, 2023 - about 2 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 1942817739 NPPES
Maine Other 443211 NBCOT

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