Eberhardt, Linda A

Eberhardt, Linda A is an individual health care provider with primary practice located at 24 Penn Plaza , Bangor ME 04401. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Eberhardt, Linda A can be contacted via phone (207) 942-0593.

Contact Information

Primary practice address
24 Penn Plaza Bangor ME 04401
Fax: (207) 947-5237
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3063 Maine

Profile Details

NPI number 1841380037
LBN Legal business name Eberhardt, Linda A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 10th, 2016 - about 9 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 1841380037 NPPES
Maine MEDICAID 118390099

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