Martin, Lori A

Martin, Lori A is an individual health care provider with primary practice located at 272 Main Street Suite 103 , Madawaska ME 04756-0602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Lori A can be contacted via phone (207) 436-9587.

Contact Information

Primary practice address
272 Main Street Suite 103 Madawaska ME 04756-0602
Fax: (207) 728-3131
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11621 Maine

Profile Details

NPI number 1396863791
LBN Legal business name Martin, Lori A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated May 10th, 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 1396863791 NPPES
Maine Other 431878499 MAINE CARE NUMBER

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