Gerry, Mathew

Gerry, Mathew is an individual health care provider with primary practice located at 12 Union St , Rockland ME 04841-2739. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gerry, Mathew can be contacted via phone (207) 701-4477.

Contact Information

Primary practice address
12 Union St Rockland ME 04841-2739
Phone: (207) 701-4477
Fax: (207) 701-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSX11661 Maine

Profile Details

NPI number 1972755163
LBN Legal business name Gerry, Mathew
Credentials SW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 19th, 2012 - about 13 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 1972755163 NPPES
Maine MEDICAID 433041299

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