Nickerson, Jason William

Nickerson, Jason William is an individual health care provider with primary practice located at 72 Auburn St , Portland ME 04103-2104. 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. Nickerson, Jason William can be contacted via phone (207) 245-1800.

Contact Information

Primary practice address
72 Auburn St Portland ME 04103-2104
Phone: (207) 245-1800
Fax: (207) 899-1599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC5536 Maine

Profile Details

NPI number 1841722378
LBN Legal business name Nickerson, Jason William
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 9 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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