Nickerson, Earl M

Nickerson, Earl M is an sole proprietor health care provider with primary practice located at 9 Doak Rd , Belfast ME 04915. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Nickerson, Earl M can be contacted via phone (207) 338-3605.

Contact Information

Primary practice address
9 Doak Rd Belfast ME 04915
Phone: (207) 338-3605
Fax: (207) 338-0589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLSL916 Maine

Profile Details

NPI number 1144359910
LBN Legal business name Nickerson, Earl M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 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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