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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1902875750 NPPES
Rhode Island Other 31298-1 BCBSRI
Rhode Island MEDICAID KM59768 BCBSRI
Rhode Island Other 413281 BCBSRI

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