Teale, Kenneth

Teale, Kenneth is an individual health care provider with primary practice located at 12 Union St , Rockland ME 04841-2739. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Teale, Kenneth can be contacted via phone (207) 701-4477.

Contact Information

Primary practice address
12 Union St Rockland ME 04841-2739
Phone: (207) 701-4477
Fax: (207) 701-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LS5311 Maine

Profile Details

NPI number 1396809612
LBN Legal business name Teale, Kenneth
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Mar 5th, 2010 - about 16 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 1396809612 NPPES
Maine MEDICAID 431590099

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