Carpenter, Sally

Carpenter, Sally is an individual health care provider with primary practice located at 30 West Cole Road , Biddeford ME 04005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Carpenter, Sally can be contacted via phone (207) 282-3349.

Contact Information

Primary practice address
30 West Cole Road Biddeford ME 04005
Phone: (207) 282-3349
Fax: (207) 282-6099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.008703 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP121104 Maine

Profile Details

NPI number 1245500420
LBN Legal business name Carpenter, Sally
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Jan 30th, 2013 - about 13 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 1245500420 NPPES
Maine MEDICAID 1245500420

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