Fitzgibbons, Lee Ann
Fitzgibbons, Lee Ann is an individual health care provider with primary practice located at 104 Webbs Mills Rd , Raymond ME 04071-6316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzgibbons, Lee Ann can be contacted via phone (207) 655-2737.Contact Information
Primary practice address
104 Webbs Mills Rd
Raymond ME 04071-6316
Phone: (207) 655-2737
Fax: (207) 655-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS1176 | Maine |
Profile Details
| NPI number | 1831165661 |
|---|---|
| LBN Legal business name | Fitzgibbons, Lee Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831165661 | NPPES |
| Maine | Other | 061697 | ANTHEM BC/BS OF ME PIN |
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