Glendon, Thomas Evers

Glendon, Thomas Evers is an sole proprietor health care provider with primary practice located at 411 Congress St , Portland ME 04101-3505. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Glendon, Thomas Evers can be contacted via phone (207) 831-6260.

Contact Information

Primary practice address
411 Congress St Portland ME 04101-3505
Phone: (207) 831-6260
Fax: (207) 681-5385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6973 Maine

Profile Details

NPI number 1396704979
LBN Legal business name Glendon, Thomas Evers
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Oct 13th, 2023 - about 3 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 1396704979 NPPES
Other 047825 ANTHEM PROVIDER ID

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