Farris, Jace

Farris, Jace is an individual health care provider with primary practice located at 14 Steves Ln , Marshfield ME 04654. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Farris, Jace can be contacted via phone (207) 255-0996.

Contact Information

Primary practice address
14 Steves Ln Marshfield ME 04654
Phone: (207) 255-0996
Fax: (207) 255-8748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649685447
LBN Legal business name Farris, Jace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2014
Last updated Jun 7th, 2018 - about 6 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 1649685447 NPPES
Maine MEDICAID 1649685447

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