House, Thora

House, Thora is an individual health care provider with primary practice located at 175 West Broadway , Lincoln ME 04457-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. House, Thora can be contacted via phone (207) 794-6700.

Contact Information

Primary practice address
175 West Broadway Lincoln ME 04457-0000
Phone: (207) 794-6700
Fax: (207) 794-6466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 025743 Maine

Profile Details

NPI number 1083673966
LBN Legal business name House, Thora
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Mar 4th, 2013 - about 13 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 1083673966 NPPES
Maine Other 201837 NGS
Maine MEDICAID 257420099 NGS
Maine Other 035045 NGS

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