Goodine, Brenda R.

Goodine, Brenda R. is an individual health care provider with primary practice located at 43 Vickers Dr , Caribou ME 04736-3884. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goodine, Brenda R. can be contacted via phone (207) 498-0922.

Contact Information

Primary practice address
43 Vickers Dr Caribou ME 04736-3884
Phone: (207) 498-0922
Fax: (207) 492-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1093973398
LBN Legal business name Goodine, Brenda R.
Credentials MHRT-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated May 23rd, 2008 - 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 1093973398 NPPES
Maine Other 103850000 MAINECARE

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