Thompson, Nolan M
Thompson, Nolan M is an sole proprietor health care provider with primary practice located at 755 Roosevelt Trl # 3B , Windham ME 04062-5341. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Thompson, Nolan M can be contacted via phone (207) 415-9326.Contact Information
Primary practice address
755 Roosevelt Trl # 3B
Windham ME 04062-5341
Phone: (207) 415-9326
Fax: (207) 899-4951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC3625 | Maine |
Profile Details
| NPI number | 1295933489 |
|---|---|
| LBN Legal business name | Thompson, Nolan M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295933489 | NPPES |
| Maine | MEDICAID | 219870000 |
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