Faherty, Laura J.

Faherty, Laura J. is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3175. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Faherty, Laura J. can be contacted via phone (207) 662-2911.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3175
Phone: (207) 662-2911
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23809 Maine

Profile Details

NPI number 1053635508
LBN Legal business name Faherty, Laura J.
Credentials M.D., M.P.H., M.S.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Oct 18th, 2021 - about 5 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 1053635508 NPPES
Massachusetts MEDICAID 110095957A

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