Fricke, Marianne
Fricke, Marianne is an sole proprietor health care provider with primary practice located at 268 State St Room 2-4, Bangor ME 04401-5417. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fricke, Marianne can be contacted via phone (207) 990-0188.Contact Information
Primary practice address
268 State St Room 2-4
Bangor ME 04401-5417
Phone: (207) 990-0188
Fax: (207) 990-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LC7263 | Maine |
Profile Details
| NPI number | 1295895340 |
|---|---|
| LBN Legal business name | Fricke, Marianne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 2nd, 2008 - about 17 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 | 1295895340 | NPPES |
| Maine | MEDICAID | 291250099 | |
| Maine | Other | 332129 | |
| Maine | Other | 7286556 | |
| Maine | Other | 100017 |
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