Grindle, Lisa Madge
Grindle, Lisa Madge is an sole proprietor health care provider with primary practice located at 175 Union St. Suite C, Bangor ME 04401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Grindle, Lisa Madge can be contacted via phone (207) 944-3356.Contact Information
Primary practice address
175 Union St. Suite C
Bangor ME 04401
Phone: (207) 944-3356
Fax: (207) 433-1038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R036574 | Maine |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP081803 | Maine |
Profile Details
NPI number | 1467515056 |
---|---|
LBN Legal business name | Grindle, Lisa Madge |
Credentials | PMH-NP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2006 |
Last updated | May 30th, 2012 - about 12 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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