Summerville, Michelle Forbes
Summerville, Michelle Forbes is an sole proprietor health care provider with primary practice located at Coastal Kids Ot 1222 Portland Rd , Arundel ME 04046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Summerville, Michelle Forbes can be contacted via phone (207) 337-1058.Contact Information
Primary practice address
Coastal Kids Ot 1222 Portland Rd
Arundel ME 04046
Phone: (207) 337-1058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | PA4434 | Maine |
Profile Details
| NPI number | 1245974708 |
|---|---|
| LBN Legal business name | Summerville, Michelle Forbes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Apr 21st, 2022 - about 2 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 | 1245974708 | NPPES |
| Maine | Other | PA4434 | LICENSE |
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