Loftus, Deborah W

Loftus, Deborah W is an sole proprietor health care provider with primary practice located at 75 State St , Ellsworth ME 04605-1947. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Loftus, Deborah W can be contacted via phone (207) 460-5879.

Contact Information

Primary practice address
75 State St Ellsworth ME 04605-1947
Phone: (207) 460-5879
Fax: (207) 288-8111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS1093 Maine

Profile Details

NPI number 1881647949
LBN Legal business name Loftus, Deborah W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jun 2nd, 2010 - about 15 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 1881647949 NPPES
Maine Other PS1093 ME LICENSE
Maine MEDICAID 431585999 ME LICENSE

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