Thibault, Matthew John
Thibault, Matthew John is an sole proprietor health care provider with primary practice located at 86 Tandberg Trail , Windham ME 04062-3411. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thibault, Matthew John can be contacted via phone (207) 893-0386.Contact Information
Primary practice address
86 Tandberg Trail
Windham ME 04062-3411
Phone: (207) 893-0386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC12551 | Maine |
Profile Details
| NPI number | 1285835611 |
|---|---|
| LBN Legal business name | Thibault, Matthew John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2007 |
| Last updated | Jan 4th, 2019 - about 6 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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