Rubin, Cheryl Martha

Rubin, Cheryl Martha is an sole proprietor health care provider with primary practice located at 75 State St , Ellsworth ME 04605-1923. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rubin, Cheryl Martha can be contacted via phone (297) 667-2998.

Contact Information

Primary practice address
75 State St Ellsworth ME 04605-1923
Fax: (207) 667-6998
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC6225 Maine

Profile Details

NPI number 1780680553
LBN Legal business name Rubin, Cheryl Martha
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Nov 19th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780680553 NPPES
Maine Other 40557 MAGELLAN BEHAVIORAL HEATH

Popular Providers