Dorland, Jeanne M

Dorland, Jeanne M is an sole proprietor health care provider with primary practice located at 82 Columbia St Suite301, Bangor ME 04401-6357. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dorland, Jeanne M can be contacted via phone (207) 942-8200.

Contact Information

Primary practice address
82 Columbia St Suite301 Bangor ME 04401-6357
Phone: (207) 942-8200
Fax: (207) 990-3065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC2537 Maine
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1240 Maine

Profile Details

NPI number 1376584805
LBN Legal business name Dorland, Jeanne M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Oct 27th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376584805 NPPES
Maine MEDICAID 431511499
Maine Other 098304

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