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Contact Information

RETHA K BOBB, PNP
1068 UNION ST
BANGOR, ME04401-3016
 Phone: 207-947-0147
 Fax: 207-990-3365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RETHA K BOBB · (Female)

NPI # 1053416321
Status Active
Credentials PNP
Entity Individual
Enumeration date 09/13/2006
Last updated 06/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ME License # AP081666
  • ME License # R020258
  • ME Medicaid 336370099
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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