Shulman, Kristin M
Shulman, Kristin M is an sole proprietor health care provider with primary practice located at 12 Andover Rd , Portland ME 04102-1954. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shulman, Kristin M can be contacted via phone (207) 761-5612.Contact Information
Primary practice address
12 Andover Rd
Portland ME 04102-1954
Phone: (207) 761-5612
Fax: (207) 662-6234
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01638 | Rhode Island |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC12764 | Maine |
Profile Details
NPI number | 1902875750 |
---|---|
LBN Legal business name | Shulman, Kristin M |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2006 |
Last updated | May 14th, 2013 - about 11 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 | 1902875750 | NPPES |
Rhode Island | Other | 31298-1 | BCBSRI |
Rhode Island | MEDICAID | KM59768 | BCBSRI |
Rhode Island | Other | 413281 | BCBSRI |
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