Fortin, Katharine J Disalvatore
Fortin, Katharine J Disalvatore is an individual health care provider with primary practice located at 700 Mount Hope Ave Ste 320 , Bangor ME 04401-5680. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fortin, Katharine J Disalvatore can be contacted via phone (207) 941-2952.Contact Information
Primary practice address
700 Mount Hope Ave Ste 320
Bangor ME 04401-5680
Phone: (207) 941-2952
Fax: (207) 941-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP1742 | Maine |
Profile Details
| NPI number | 1992877765 |
|---|---|
| LBN Legal business name | Fortin, Katharine J Disalvatore |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 11th, 2017 - about 8 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 | 1992877765 | NPPES |
| Maine | MEDICAID | 251820099 |
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