Fusco, Thomas L

Fusco, Thomas L is an individual health care provider with primary practice located at 329 Bath Rd , Brunswick ME 04011-2609. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fusco, Thomas L can be contacted via phone (800) 434-3000.

Contact Information

Primary practice address
329 Bath Rd Brunswick ME 04011-2609
Phone: (800) 434-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC171 Maine

Profile Details

NPI number 1063633238
LBN Legal business name Fusco, Thomas L
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063633238 NPPES
Maine MEDICAID 216790099

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