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Contact Information

SHANDI L ELLIS
10 CALDWELL RD
AUGUSTA, ME04330-5735
 Phone: 207-626-3448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SHANDI L ELLIS · (Female)

NPI Number 1104631019
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2025
Last updated 02/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # CAC8759
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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