Lilly, David C

Lilly, David C is an sole proprietor health care provider with primary practice located at 174 S Freeport Rd # 2E , Freeport ME 04032-6145. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lilly, David C can be contacted via phone (207) 865-9692.

Contact Information

Primary practice address
174 S Freeport Rd # 2E Freeport ME 04032-6145
Phone: (207) 865-9692
Fax: (207) 865-9241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS107 Maine

Profile Details

NPI number 1467589986
LBN Legal business name Lilly, David C
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
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 1467589986 NPPES
Maine Other 039291 ANTHEM
Maine MEDICAID 328740099 ANTHEM

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