Gary, Richard Allan

Gary, Richard Allan is an sole proprietor health care provider with primary practice located at 363 Fern St , Bangor ME 04401-4060. He recently has only one registered license in Agencies / Foster Care Agency, which is considered as his primary health care specialty. Gary, Richard Allan can be contacted via phone (207) 944-1848.

Contact Information

Primary practice address
363 Fern St Bangor ME 04401-4060
Phone: (207) 944-1848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X Maine

Profile Details

NPI number 1962731471
LBN Legal business name Gary, Richard Allan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2009
Last updated Dec 11th, 2009 - about 16 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 1962731471 NPPES
Maine Other 432708200 STATE OF MAINE PROVIDER NUMBER

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