Sandberg, William H.

Sandberg, William H. is an sole proprietor health care provider with primary practice located at 205 Ocean Ave , Portland ME 04103-5712. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sandberg, William H. can be contacted via phone (207) 773-7993.

Contact Information

Primary practice address
205 Ocean Ave Portland ME 04103-5712
Phone: (207) 773-7993
Fax: (207) 773-5512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016056 Pennsylvania
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS 1233 Maine

Profile Details

NPI number 1174548572
LBN Legal business name Sandberg, William H.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Apr 11th, 2009 - about 17 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 1174548572 NPPES
Maine Other 0005633 MEDICARE PTAN

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