Ingram, Tristan

Ingram, Tristan is an individual health care provider with primary practice located at 527 Ocean Ave Ste 19 , Portland ME 04103-4972. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ingram, Tristan can be contacted via phone (207) 573-7424.

Contact Information

Primary practice address
527 Ocean Ave Ste 19 Portland ME 04103-4972
Phone: (207) 573-7424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760034185
LBN Legal business name Ingram, Tristan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Jul 16th, 2019 - about 7 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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