Davis, Katherine M
Davis, Katherine M is an sole proprietor health care provider with primary practice located at 43 Columbia St Suite 11, Bangor ME 04401-6346. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Katherine M can be contacted via phone (207) 941-8829.Contact Information
Primary practice address
43 Columbia St Suite 11
Bangor ME 04401-6346
Phone: (207) 941-8829
Fax: (207) 825-3827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC3871 | Maine |
Profile Details
| NPI number | 1043258882 |
|---|---|
| LBN Legal business name | Davis, Katherine M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| 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 | 1043258882 | NPPES |
| Maine | Other | 7675142 | AETNA |
| Maine | Other | 11255707 | AETNA |
| Maine | Other | 037459 | AETNA |
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