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Contact Information

AMY JO FAIRBROTHER, LADC
12 ACME RD STE 207
BREWER, ME04412-1546
 Phone: 207-573-4722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AMY JO FAIRBROTHER · (Female)

NPI Number 1356807499
Status Active
Credentials LADC
Entity Individual
Enumeration date 02/13/2019
Last updated 10/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC6397
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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