Small, Edward Victor

Small, Edward Victor is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Small, Edward Victor can be contacted via phone (207) 973-8086.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (207) 973-8086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PA3405 Maine

Profile Details

NPI number 1508107665
LBN Legal business name Small, Edward Victor
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Mar 13th, 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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