Parker, Andrew
Parker, Andrew is an sole proprietor health care provider with primary practice located at 854 Broadway , South Portland ME 04106-2712. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Parker, Andrew can be contacted via phone (207) 776-8146.Contact Information
Primary practice address
854 Broadway
South Portland ME 04106-2712
Phone: (207) 776-8146
Fax: (207) 799-2303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | MC9966 | Maine |
Profile Details
NPI number | 1003944752 |
---|---|
LBN Legal business name | Parker, Andrew |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2007 |
Last updated | Jul 10th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003944752 | NPPES |
Maine | MEDICAID | 431883099 |
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