Smith, E. Terrance

Smith, E. Terrance is an sole proprietor health care provider with primary practice located at 62 Melbourne Street , Portland ME 04101-2727. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Smith, E. Terrance can be contacted via phone (207) 318-5672.

Contact Information

Primary practice address
62 Melbourne Street Portland ME 04101-2727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1427286350
LBN Legal business name Smith, E. Terrance
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2009
Last updated Jun 30th, 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 1427286350 NPPES
Maine MEDICAID 432750300

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