White, Tina M

White, Tina M is an sole proprietor health care provider with primary practice located at 41 Maple St , New Gloucester ME 04260-4428. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. White, Tina M can be contacted via phone (207) 926-4349.

Contact Information

Primary practice address
41 Maple St New Gloucester ME 04260-4428
Fax:
Website:

Profile Details

NPI number 1982930715
LBN Legal business name White, Tina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2009
Last updated Oct 29th, 2009 - 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 1982930715 NPPES
Maine MEDICAID 230510000

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