Brodeur, Alfred L
Brodeur, Alfred L is an sole proprietor health care provider with primary practice located at 81 Main St Box 16 Suite 102, Auburn ME 04210-5883. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Brodeur, Alfred L can be contacted via phone (207) 777-1078.Contact Information
Primary practice address
81 Main St Box 16 Suite 102
Auburn ME 04210-5883
Phone: (207) 777-1078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC2135 | Maine |
Profile Details
| NPI number | 1760463871 |
|---|---|
| LBN Legal business name | Brodeur, Alfred L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760463871 | NPPES |
| Maine | Other | 461514000 | MAGELLAN |
| Maine | Other | 017270 | MAGELLAN |
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