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
Fax: (200) 779-7556
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 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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