Story, Jessica Lynne

Story, Jessica Lynne is an individual health care provider with primary practice located at 125 Presumpscot St , Portland ME 04103-5225. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Story, Jessica Lynne can be contacted via phone (207) 699-5531.

Contact Information

Primary practice address
125 Presumpscot St Portland ME 04103-5225
Phone: (207) 699-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT1788 Maine

Profile Details

NPI number 1063518447
LBN Legal business name Story, Jessica Lynne
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 9th, 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 1063518447 NPPES
Maine MEDICAID 418120099

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