Raynor, Thomas Tod

Raynor, Thomas Tod is an individual health care provider with primary practice located at 70 First Rangeway , Waterville ME 04901-5254. 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. Raynor, Thomas Tod can be contacted via phone (207) 616-0705.

Contact Information

Primary practice address
70 First Rangeway Waterville ME 04901-5254
Phone: (207) 616-0705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC7066 Maine

Profile Details

NPI number 1780207407
LBN Legal business name Raynor, Thomas Tod
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2020
Last updated May 28th, 2020 - about 5 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 1780207407 NPPES
Maine MEDICAID SSA684134

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