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Contact Information

TINA M WHITE
41 MAPLE ST
NEW GLOUCESTER, ME04260-4428
 Phone: 207-926-4349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for TINA M WHITE · (Female)

NPI Number 1982930715
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2009
Last updated 10/29/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • ME Medicaid 230510000
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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