Fuller, Peter J.

Fuller, Peter J. is an individual health care provider with primary practice located at 474 Main St , Springvale ME 04083-1409. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fuller, Peter J. can be contacted via phone (207) 324-1500.

Contact Information

Primary practice address
474 Main St Springvale ME 04083-1409
Phone: (207) 324-1500
Fax: (207) 490-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC4929 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4294 Maine

Profile Details

NPI number 1659652022
LBN Legal business name Fuller, Peter J.
Credentials LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Jun 22nd, 2016 - about 9 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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