Coursey, Martha M

Coursey, Martha M is an sole proprietor health care provider with primary practice located at 867 Sherman St , Island Falls ME 04747-4413. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Coursey, Martha M can be contacted via phone (207) 463-2757.

Contact Information

Primary practice address
867 Sherman St Island Falls ME 04747-4413
Fax:
Website:

Profile Details

NPI number 1598994972
LBN Legal business name Coursey, Martha M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Jul 7th, 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 1598994972 NPPES
Maine MEDICAID 216650000

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