Advance

LBN: Advance
Advance is an health care organization with primary practice located at 265 Pine St , Lewiston ME 04240-6308. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Advance can be contacted via phone (207) 786-0168, or through Bergeron, Jennifer via phone (207) 786-0168.

Contact Information

Primary practice address
265 Pine St Lewiston ME 04240-6308
Phone: (207) 786-0168
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergeron, Jennifer Occupational Therapist (OT)
Phone: (207) 786-0168

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1932184900
LBN Legal business name Advance
DBA Doing business as
Authorized official Bergeron, Jennifer Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932184900 NPPES
Maine MEDICAID 202650000

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