Small, Jennifer

Small, Jennifer is an individual health care provider with primary practice located at 235 Main St , Norway ME 04268-5943. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Small, Jennifer can be contacted via phone (207) 739-2644.

Contact Information

Primary practice address
235 Main St Norway ME 04268-5943
Phone: (207) 739-2644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC2466 Maine

Profile Details

NPI number 1659310142
LBN Legal business name Small, Jennifer
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 28th, 2019 - about 7 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 1659310142 NPPES
Maine MEDICAID 417940099

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