Holbrook, Carolyn Balcom

Holbrook, Carolyn Balcom is an individual health care provider with primary practice located at 205 Ocean Ave , Portland ME 04103-5742. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Holbrook, Carolyn Balcom can be contacted via phone (207) 775-1335.

Contact Information

Primary practice address
205 Ocean Ave Portland ME 04103-5742
Phone: (207) 775-1335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LC2568 Maine

Profile Details

NPI number 1851336788
LBN Legal business name Holbrook, Carolyn Balcom
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851336788 NPPES
Maine Other 048028 BC/BS

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