Grace, Judith B.
Grace, Judith B. is an sole proprietor health care provider with primary practice located at 290 Northport Ave , Belfast ME 04915. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grace, Judith B. can be contacted via phone (207) 338-6243.Contact Information
Primary practice address
290 Northport Ave
Belfast ME 04915
Phone: (207) 338-6243
Fax: (207) 338-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | #668 | Maine |
Profile Details
| NPI number | 1265654156 |
|---|---|
| LBN Legal business name | Grace, Judith B. |
| Credentials | L.C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| 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 | 1265654156 | NPPES |
| Maine | Other | 027118 | ANTHEM |
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