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Contact Information

MARY E THEOBALD, NP
55 REYNOLDS ROAD
BROOKS, ME04915
 Phone: 207-722-3488
 Fax: 207-722-3183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY E THEOBALD · (Female)

NPI # 1356418685
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ME License # R030807
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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