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Contact Information

RONDA ANDERSON
629 MAIN ST
BANGOR, ME04401-6848
 Phone: 207-990-2870
 Fax: 207-990-2298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RONDA ANDERSON · (Female)

NPI # 1104267954
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2013
Last updated 07/09/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # CAC4364
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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