Hammond, Mark R.
Hammond, Mark R. is an individual health care provider with primary practice located at 222 Auburn St Suite 1G, Portland ME 04103-6004. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Hammond, Mark R. can be contacted via phone (207) 797-8255.Contact Information
Primary practice address
222 Auburn St Suite 1G
Portland ME 04103-6004
Phone: (207) 797-8255
Fax: (200) 779-7556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP131 | Maine |
Profile Details
| NPI number | 1356456248 |
|---|---|
| LBN Legal business name | Hammond, Mark R. |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Oct 7th, 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 | 1356456248 | NPPES |
| Maine | Other | 010512139 | TAX ID |
| Maine | MEDICAID | 130820099 | TAX ID |
| Maine | Other | AA28449 | TAX ID |
| Maine | Other | 018316 | TAX ID |
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