Wolph-Johnson, Maxine
Wolph-Johnson, Maxine is an individual health care provider with primary practice located at 18 Common St , Waterville ME 04901-6678. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wolph-Johnson, Maxine can be contacted via phone (207) 696-4225.Contact Information
Primary practice address
18 Common St
Waterville ME 04901-6678
Phone: (207) 696-4225
Fax: (207) 696-4211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC122 | Maine |
Profile Details
| NPI number | 1194964114 |
|---|---|
| LBN Legal business name | Wolph-Johnson, Maxine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2009 |
| Last updated | Feb 14th, 2009 - 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 | 1194964114 | NPPES |
| Maine | MEDICAID | 431821099 |
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