Mcbrady, Timothy Michael

Mcbrady, Timothy Michael is an individual health care provider with primary practice located at 2300 Congress St , Portland ME 04102-1908. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcbrady, Timothy Michael can be contacted via phone (207) 221-2292.

Contact Information

Primary practice address
2300 Congress St Portland ME 04102-1908
Phone: (207) 221-2292
Fax: (207) 221-2297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC1323 Maine

Profile Details

NPI number 1346454923
LBN Legal business name Mcbrady, Timothy Michael
Credentials LPN, LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Dec 14th, 2010 - about 15 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 1346454923 NPPES
Maine MEDICAID 251760099

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