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
Fax: (207) 799-2303
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003944752 NPPES
Maine MEDICAID 431883099

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