Kelley, Deborah M
Kelley, Deborah M is an individual health care provider with primary practice located at 4 Commons Ave , Windham ME 04062-5554. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kelley, Deborah M can be contacted via phone (207) 892-7642.Contact Information
Primary practice address
4 Commons Ave
Windham ME 04062-5554
Phone: (207) 892-7642
Fax: (207) 892-8440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1501 | Maine |
Profile Details
| NPI number | 1225038052 |
|---|---|
| LBN Legal business name | Kelley, Deborah M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| 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 | 1225038052 | NPPES |
| Maine | Other | 061101 | BC/BS OF MAINE |
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