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Contact Information

JONATHAN P BEDARD, DSP, CRMA, CPR
27 QUIMBY ST APT 102
BIDDEFORD, ME04005-5226
 Phone: 207-229-8959
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JONATHAN P BEDARD · (Male)

NPI Number 1093468829
Status Active
Credentials DSP, CRMA, CPR
Entity Individual
Enumeration date 02/01/2022
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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