Wentzel, Keith A

Wentzel, Keith A is an sole proprietor health care provider with primary practice located at 79 Main St , Auburn ME 04210-5811. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wentzel, Keith A can be contacted via phone (207) 364-7981.

Contact Information

Primary practice address
79 Main St Auburn ME 04210-5811
Fax: (877) 789-6905
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC4458 Maine

Profile Details

NPI number 1881986388
LBN Legal business name Wentzel, Keith A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2011
Last updated May 10th, 2017 - about 9 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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