Lee, Mary Ellen

Lee, Mary Ellen is an sole proprietor health care provider with primary practice located at 727 N Main St , Brewer ME 04412-1260. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Lee, Mary Ellen can be contacted via phone (207) 907-4160.

Contact Information

Primary practice address
727 N Main St Brewer ME 04412-1260
Phone: (207) 907-4160
Fax: (207) 907-4160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1285963041
LBN Legal business name Lee, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2009
Last updated Dec 8th, 2009 - 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 1285963041 NPPES
Maine Other 3002923 MAINECARE PROVIDER LICENSE NUMBER
Maine Other 432802900 MAINECARE PROVIDER LICENSE NUMBER
Maine Other VC0000112845 MAINECARE PROVIDER LICENSE NUMBER

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