Haney, Jennifer A.

Haney, Jennifer A. is an individual health care provider with primary practice located at 162 Main St , Presque Isle ME 04769-2817. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Haney, Jennifer A. can be contacted via phone (207) 768-3304.

Contact Information

Primary practice address
162 Main St Presque Isle ME 04769-2817
Phone: (207) 768-3304
Fax: (207) 764-6340
Website:
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Health care specialties

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

Profile Details

NPI number 1407083413
LBN Legal business name Haney, Jennifer A.
Credentials MHRT-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Aug 13th, 2013 - 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 1407083413 NPPES
Maine MEDICAID 103850000

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