Gillis, Astor Charlene
Gillis, Astor Charlene is an sole proprietor health care provider with primary practice located at 59 Franklin St. Suite B, Ellsworth ME 04605. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gillis, Astor Charlene can be contacted via phone (207) 667-2730.Contact Information
Primary practice address
59 Franklin St. Suite B
Ellsworth ME 04605
Phone: (207) 667-2730
Fax: (207) 669-4027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC2639 | Maine |
Profile Details
| NPI number | 1851629851 |
|---|---|
| LBN Legal business name | Gillis, Astor Charlene |
| Credentials | B.S., L.A.D.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2009 |
| Last updated | Dec 2nd, 2009 - about 17 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 | 1851629851 | NPPES |
| Maine | Other | 256940099 | MAINECARE |
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