Madore, Jonathan E.

Madore, Jonathan E. is an individual health care provider with primary practice located at 88 Fox St Suite #101, Madawaska ME 04756-1352. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Madore, Jonathan E. can be contacted via phone (207) 728-6341.

Contact Information

Primary practice address
88 Fox St Suite #101 Madawaska ME 04756-1352
Phone: (207) 728-6341
Fax: (207) 728-7762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457794158
LBN Legal business name Madore, Jonathan E.
Credentials BHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 11 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 1457794158 NPPES
Maine MEDICAID 010276859

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