Matranga, Jeff

Matranga, Jeff is an sole proprietor health care provider with primary practice located at 30 Chase Ave , Waterville ME 04901-4624. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Matranga, Jeff can be contacted via phone (207) 872-4100.

Contact Information

Primary practice address
30 Chase Ave Waterville ME 04901-4624
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X PS679 Maine

Profile Details

NPI number 1871500090
LBN Legal business name Matranga, Jeff
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Mar 22nd, 2016 - about 8 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 1871500090 NPPES
Maine MEDICAID 231910099

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