Shi, Quan Zhen

Shi, Quan Zhen is an individual health care provider with primary practice located at 29 Franklin St , Bangor ME 04401-4909. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shi, Quan Zhen can be contacted via phone (207) 942-3816.

Contact Information

Primary practice address
29 Franklin St Bangor ME 04401-4909
Phone: (207) 942-3816
Fax: (207) 561-4725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS884 Maine

Profile Details

NPI number 1487601670
LBN Legal business name Shi, Quan Zhen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 9th, 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 1487601670 NPPES
Maine MEDICAID 214240099
Maine Other 098303

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