Smith, Phillip

Smith, Phillip is an sole proprietor health care provider with primary practice located at 313 Ossipee Trl , Gorham ME 04038-2131. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Phillip can be contacted via phone (207) 929-0135.

Contact Information

Primary practice address
313 Ossipee Trl Gorham ME 04038-2131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC3739 Maine

Profile Details

NPI number 1790091973
LBN Legal business name Smith, Phillip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2010
Last updated Aug 25th, 2010 - about 16 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 1790091973 NPPES
Maine Other 435655099 PROVIDER ENROLLMENT

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