Libby, Amy

Libby, Amy is an individual health care provider with primary practice located at 12 Union St , Rockland ME 04841-2739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Libby, Amy can be contacted via phone (207) 701-4477.

Contact Information

Primary practice address
12 Union St Rockland ME 04841-2739
Phone: (207) 701-4477
Fax: (207) 701-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11799 Maine

Profile Details

NPI number 1679637763
LBN Legal business name Libby, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 3rd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679637763 NPPES
Maine MEDICAID 104540000
Maine MEDICAID 424670099

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