Stoddard, Sean J

Stoddard, Sean J is an individual health care provider with primary practice located at 1 Stackpole Dr , Machias ME 04654-7000. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Stoddard, Sean J can be contacted via phone (207) 255-0996.

Contact Information

Primary practice address
1 Stackpole Dr Machias ME 04654-7000
Phone: (207) 255-0996
Fax: (207) 255-8748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1093077091
LBN Legal business name Stoddard, Sean J
Credentials MHRT-CSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Jun 14th, 2012 - 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 1093077091 NPPES
Maine MEDICAID 103850000

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