Tibbetts, Jean Henderson

Tibbetts, Jean Henderson is an individual health care provider with primary practice located at 417 State St Suite 230, Bangor ME 04401-6630. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tibbetts, Jean Henderson can be contacted via phone (207) 947-1291.

Contact Information

Primary practice address
417 State St Suite 230 Bangor ME 04401-6630
Phone: (207) 947-1291
Fax: (207) 947-9241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 011702 Maine

Profile Details

NPI number 1225020480
LBN Legal business name Tibbetts, Jean Henderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 29th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225020480 NPPES
Maine MEDICAID 221710099

Popular Providers